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 ⌀ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
600 | 499 | General exam at 63 years highlighted stress. Advised on coping strategies and possible mental health referral. | 1947-04-28 | Thao506 | 2010-07-12 | 2010-07-12 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,446.08 | 0 | null | null | 63 | null | Stress | null | null | FIRST NAME:
Thao506
NOTE:
General exam at 63 years highlighted stress. Advised on coping strategies and possible mental health referral.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
601 | 501 | At 66, patient examined for diabetic retinopathy and noted to be out of workforce. Ophthalmology follow-up advised. | 1947-04-28 | Thao506 | 2013-07-29 | 2013-07-29 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,349.12 | 892.89 | null | null | 66 | null | Diabetic retinopathy, Not in workforce | null | null | FIRST NAME:
Thao506
NOTE:
At 66, patient examined for diabetic retinopathy and noted to be out of workforce. Ophthalmology follow-up advised.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
602 | 503 | General exam at 67 showed need for medication review, limited social contact, and severe anxiety. Mental health support suggested. | 1947-04-28 | Thao506 | 2014-08-04 | 2014-08-04 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 934.74 | 629.82 | null | null | 67 | null | Med review due, Limited social contact, Severe anxiety | null | null | FIRST NAME:
Thao506
NOTE:
General exam at 67 showed need for medication review, limited social contact, and severe anxiety. Mental health support suggested.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
603 | 505 | Comprehensive assessment at 68 including medication reconciliation and screening for anxiety, falls, domestic abuse, and substance use. Diagnosed ischemic heart disease treated with Clopidogrel, Simvastatin, Metoprolol ER, and nitroglycerin. Patient employed full-time. | 1947-04-28 | Thao506 | 2015-08-10 | 2015-08-10 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,399.86 | 933.48 | null | null | 68 | HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 73.0 mm[Hg], SBP 119.0 mm[Hg], HR 88.0 /min, RR 15.0 /min, BloodGlucose 105.4 mg/dL, BloodBUN 15.0 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 136.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 108.1 mmol/L, Total... | IHD, Full-time employed | Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Thao506
NOTE:
Comprehensive assessment at 68 including medication reconciliation and screening for anxiety, falls, domestic abuse, and substance use. Diagnosed ischemic heart disease treated with Clopidogrel, Simvastatin, Metoprolol ER, and nitroglycerin. Patient employed full-time.
ENCOUNTER TYPE:
wellness... |
604 | 515 | "Referral to cardiology for further evaluation at age 68 due to ongoing cardiac issues." | 1947-04-28 | Thao506 | 2015-08-17 | 2015-08-17 | 11 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 516.95 | 413.56 | 414,545,008 | Ischemic heart disease (disorder) | 68 | null | null | null | Cards referral | FIRST NAME:
Thao506
NOTE:
"Referral to cardiology for further evaluation at age 68 due to ongoing cardiac issues."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
605 | 516 | Consultation and coronary angiography performed due to abnormal cardiac imaging. Post-anesthesia care unit admission noted. Multiple referrals made. | 1947-04-28 | Thao506 | 2015-08-19 | 2015-08-19 | 11 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,875.86 | 1,500.69 | 414,545,008 | Ischemic heart disease (disorder) | 68 | null | Abn cardiac img | null | Tx consult, Coronary angio, PACU, Service referral, Cards referral | FIRST NAME:
Thao506
NOTE:
Consultation and coronary angiography performed due to abnormal cardiac imaging. Post-anesthesia care unit admission noted. Multiple referrals made.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
606 | 521 | Dental evaluation revealed dental caries. Underwent scaling, bitewing x-rays, composite restoration, and received oral health education. | 1947-04-28 | Thao506 | 2015-08-31 | 2015-08-31 | 11 | 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) | 68 | null | Dental caries | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed | FIRST NAME:
Thao506
NOTE:
Dental evaluation revealed dental caries. Underwent scaling, bitewing x-rays, composite restoration, and received oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
607 | 524 | "Percutaneous coronary intervention performed at 68 to address coronary artery disease." | 1947-04-28 | Thao506 | 2015-09-07 | 2015-09-07 | 11 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 9,341.15 | 7,472.92 | 414,545,008 | Ischemic heart disease (disorder) | 68 | null | null | null | PCI | FIRST NAME:
Thao506
NOTE:
"Percutaneous coronary intervention performed at 68 to address coronary artery disease."
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
608 | 525 | Annual medication review and multiple health screenings conducted. Non-proliferative diabetic retinopathy noted; referred for ophthalmic monitoring. | 1947-04-28 | Thao506 | 2016-08-15 | 2016-08-15 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,231.33 | 798.66 | null | null | 69 | HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 106.0 mm[Hg], HR 82.0 /min, RR 16.0 /min, BloodGlucose 108.9 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107.1 mmol/L, Total... | Med review due, NPDR | null | Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Thao506
NOTE:
Annual medication review and multiple health screenings conducted. Non-proliferative diabetic retinopathy noted; referred for ophthalmic monitoring.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
609 | 529 | "IUD replacement performed at age 69." | 1947-04-28 | Thao506 | 2016-08-22 | 2016-08-22 | 11 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 4,052.91 | 3,242.32 | 389,095,005 | Contraception care (regime/therapy) | 69 | null | null | null | IUD replacement | FIRST NAME:
Thao506
NOTE:
"IUD replacement performed at age 69."
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
610 | 532 | Routine dental check-up with scaling and oral health education at 69. | 1947-04-28 | Thao506 | 2016-08-29 | 2016-08-29 | 11 | 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) | 69 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Thao506
NOTE:
Routine dental check-up with scaling and oral health education at 69.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
611 | 537 | At 70, patient not in workforce and experiencing social isolation. Comprehensive assessments and medication review completed. | 1947-04-28 | Thao506 | 2017-08-21 | 2017-08-21 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,075.86 | 674.28 | null | null | 70 | HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 66.0 mm[Hg], SBP 105.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, BloodGlucose 121.9 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 110.7 mmol/L, Total... | Med review due, Not in workforce, Social isolation | null | Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen | FIRST NAME:
Thao506
NOTE:
At 70, patient not in workforce and experiencing social isolation. Comprehensive assessments and medication review completed.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
612 | 539 | Health needs including substance use and domestic abuse screening done. Patient unemployed and has gingivitis requiring dental care. | 1947-04-28 | Thao506 | 2018-08-27 | 2018-08-27 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 996.16 | 610.52 | null | null | 71 | HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 59.0 mm[Hg], SBP 100.0 mm[Hg], HR 79.0 /min, RR 13.0 /min, BloodGlucose 114.6 mg/dL, BloodBUN 14.2 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.4 mmol/L, BloodK 4.0 mmol/L, BloodChloride 102.2 mmol/L, Total... | Med review due, Unemployed, Gingivitis | null | Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Thao506
NOTE:
Health needs including substance use and domestic abuse screening done. Patient unemployed and has gingivitis requiring dental care.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
613 | 540 | Extensive dental procedures addressing gum disease including surgery, desensitizing treatment, and fluoride application. | 1947-04-28 | Thao506 | 2018-09-10 | 2018-09-11 | 11 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 3,864.76 | 66,383,009 | Gingivitis (disorder) | 71 | 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:
Thao506
NOTE:
Extensive dental procedures addressing gum disease including surgery, desensitizing treatment, and fluoride application.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
614 | 541 | At 72, patient screened for multiple health/social issues including depression and substance use; remains employed full-time. | 1947-04-28 | Thao506 | 2019-09-02 | 2019-09-02 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,150.44 | 733.94 | null | null | 72 | HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 61.0 mm[Hg], SBP 102.0 mm[Hg], HR 72.0 /min, RR 14.0 /min, BloodGlucose 110.0 mg/dL, BloodBUN 14.6 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 139.8 mmol/L, BloodK 3.9 mmol/L, BloodChloride 110.7 mmol/L, Total... | Full-time employed | null | Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Thao506
NOTE:
At 72, patient screened for multiple health/social issues including depression and substance use; remains employed full-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
615 | 548 | Screening for anxiety and depression at 73 with ongoing gingivitis. Medication review due. | 1947-04-28 | Thao506 | 2020-09-07 | 2020-09-07 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 853.36 | 496.28 | null | null | 73 | HbA1c 6.9 %, Height 157.9 cm, PainScore 2.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 59.0 mm[Hg], SBP 109.0 mm[Hg], HR 64.0 /min, RR 15.0 /min, BloodGlucose 109.8 mg/dL, BloodBUN 12.6 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.9 mmol/L, BloodK 5.2 mmol/L, BloodChloride 108.6 mmol/L, Total... | Med review due, Gingivitis | null | Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Thao506
NOTE:
Screening for anxiety and depression at 73 with ongoing gingivitis. Medication review due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 N... |
616 | 550 | Routine dental care and examination at 73 including scaling and oral health education. | 1947-04-28 | Thao506 | 2020-09-21 | 2020-09-21 | 11 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 73 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Thao506
NOTE:
Routine dental care and examination at 73 including scaling and oral health education.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN... |
617 | 551 | Urgent care visit related to environmental violence. Assessed for anxiety, falls, and depression; patient currently not working. | 1947-04-28 | Thao506 | 2021-07-26 | 2021-07-26 | 11 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 865.94 | 506.34 | null | null | 74 | HbA1c 6.9 %, Height 157.9 cm, PainScore 0.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 64.0 mm[Hg], SBP 107.0 mm[Hg], HR 93.0 /min, RR 14.0 /min, BloodGlucose 102.4 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 142.6 mmol/L, BloodK 3.9 mmol/L, BloodChloride 108.2 mmol/L, Total... | Not in workforce, Enviro violence | null | Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen | FIRST NAME:
Thao506
NOTE:
Urgent care visit related to environmental violence. Assessed for anxiety, falls, and depression; patient currently not working.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
618 | 552 | "Vaccine administered at age 74 to boost immunity." | 1947-04-28 | Thao506 | 2021-08-02 | 2021-08-02 | 11 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 222.86 | null | null | 74 | null | null | null | null | FIRST NAME:
Thao506
NOTE:
"Vaccine administered at age 74 to boost immunity."
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
619 | 553 | Presented with acute viral pharyngitis symptoms; supportive care provided. | 1947-04-28 | Thao506 | 2021-08-02 | 2021-08-02 | 11 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 195,662,009 | Acute viral pharyngitis (disorder) | 74 | BodyTemp 37.9 Cel | Acute viral pharyngitis | null | null | FIRST NAME:
Thao506
NOTE:
Presented with acute viral pharyngitis symptoms; supportive care provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
620 | 554 | "IUD replacement performed during visit at 74." | 1947-04-28 | Thao506 | 2021-08-23 | 2021-08-30 | 11 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 4,681.73 | 3,745.38 | 389,095,005 | Contraception care (regime/therapy) | 74 | null | null | null | IUD replacement | FIRST NAME:
Thao506
NOTE:
"IUD replacement performed during visit at 74."
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
621 | 555 | Comprehensive psychological and health needs assessments performed. Patient employed full-time with ongoing monitoring for anxiety, depression, and safety. | 1947-04-28 | Thao506 | 2021-09-13 | 2021-09-13 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 939.86 | 751.88 | null | null | 74 | HbA1c 6.9 %, Height 157.9 cm, PainScore 0.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 65.0 mm[Hg], SBP 105.0 mm[Hg], HR 69.0 /min, RR 13.0 /min, BloodGlucose 119.0 mg/dL, BloodBUN 9.6 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 102.7 mmol/L, TotalC... | Full-time employed | null | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen | FIRST NAME:
Thao506
NOTE:
Comprehensive psychological and health needs assessments performed. Patient employed full-time with ongoing monitoring for anxiety, depression, and safety.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
622 | 562 | Hospitalized at 75 for comprehensive care including physical therapy, occupational therapy, speech therapy, and nursing care. Individualized care plan implemented with multidisciplinary support. | 1947-04-28 | Thao506 | 2022-05-02 | 2022-05-23 | 11 | snf | 32,485,007 | Hospital admission (procedure) | 110.92 | 16,713.67 | 13,184.54 | 25,675,004 | Patient transfer to skilled nursing facility (procedure) | 75 | null | null | null | H&P, Initial assess, Indiv care plan, Nursing care, Speech therapy, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, PT, Nursing care, Nursing care, Nursing care, OT, Nursing care, Nursing care, Nursing care, Nursing care, Speech therapy, Nursing care, OT, Ancillary services, Nursing care, PT, ... | FIRST NAME:
Thao506
NOTE:
Hospitalized at 75 for comprehensive care including physical therapy, occupational therapy, speech therapy, and nursing care. Individualized care plan implemented with multidisciplinary support.
ENCOUNTER TYPE:
snf
REASON FOR ENCOUNTER:
0 NaN
1 ... |
623 | 578 | Health assessment including screening for depression and substance use at 75; medication review due. | 1947-04-28 | Thao506 | 2022-09-19 | 2022-09-19 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 860.16 | 688.12 | null | null | 75 | HbA1c 6.9 %, Height 157.9 cm, PainScore 2.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 106.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, BloodGlucose 114.5 mg/dL, BloodBUN 16.4 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.8 mmol/L, BloodK 4.3 mmol/L, BloodChloride 103.1 mmol/L, Total... | Med review due | null | Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Thao506
NOTE:
Health assessment including screening for depression and substance use at 75; medication review due.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
624 | 586 | Presented with viral sinusitis symptoms, treated conservatively. | 1947-04-28 | Thao506 | 2022-12-28 | 2022-12-28 | 11 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 444,814,009 | Viral sinusitis (disorder) | 75 | null | Viral sinusitis | null | null | FIRST NAME:
Thao506
NOTE:
Presented with viral sinusitis symptoms, treated conservatively.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
625 | 587 | Routine check-up with medication reconciliation and health/social needs assessment. | 1947-04-28 | Thao506 | 2023-01-16 | 2023-01-16 | 11 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,024.61 | 819.68 | null | null | 75 | HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 65.0 mm[Hg], SBP 110.0 mm[Hg], HR 86.0 /min, RR 12.0 /min, BloodGlucose 116.5 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.2 mmol/L, BloodK 3.8 mmol/L, BloodChloride 109.0 mmol/L, Total... | null | null | Med rec, Health/social needs assess | FIRST NAME:
Thao506
NOTE:
Routine check-up with medication reconciliation and health/social needs assessment.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
626 | 596 | At 76, patient screened for anxiety, depression, substance use, and falls. Not currently in workforce and reports stress; medication review needed. | 1947-04-28 | Thao506 | 2023-09-25 | 2023-09-25 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,439.14 | 964.9 | null | null | 76 | HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 60.0 mm[Hg], SBP 108.0 mm[Hg], HR 66.0 /min, RR 13.0 /min, BloodGlucose 114.9 mg/dL, BloodBUN 7.0 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 139.3 mmol/L, BloodK 3.9 mmol/L, BloodChloride 106.3 mmol/L, TotalC... | Med review due, Not in workforce, Stress | null | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Thao506
NOTE:
At 76, patient screened for anxiety, depression, substance use, and falls. Not currently in workforce and reports stress; medication review needed.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
627 | 603 | Health and medication review at 77 including depression and substance use assessments. Patient employed part-time. | 1947-04-28 | Thao506 | 2024-09-30 | 2024-09-30 | 11 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,150.44 | 733.94 | null | null | 77 | HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 110.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, BloodGlucose 116.4 mg/dL, BloodBUN 16.0 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.2 mmol/L, BloodK 5.1 mmol/L, BloodChloride 102.0 mmol/L, Total... | Med review due, Part-time employed | null | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Thao506
NOTE:
Health and medication review at 77 including depression and substance use assessments. Patient employed part-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
628 | 628 | Patient, age 9, presented with chronic sinusitis. No procedures or medications documented at this visit. Plan includes monitoring and symptom management. | 1993-05-28 | Enrique929 | 2002-09-26 | 2002-09-26 | 12 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 92.93 | 0 | 75,498,004 | Acute bacterial sinusitis (disorder) | 9 | null | Chronic sinusitis | null | null | FIRST NAME:
Enrique929
NOTE:
Patient, age 9, presented with chronic sinusitis. No procedures or medications documented at this visit. Plan includes monitoring and symptom management.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
629 | 629 | At 18, routine general examination performed. Patient is engaged in higher education and employed full-time. Medication review is due. No acute issues noted. | 1993-05-28 | Enrique929 | 2011-07-22 | 2011-07-22 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 18 | null | Med review due, Higher ed, Full-time employed | null | null | FIRST NAME:
Enrique929
NOTE:
At 18, routine general examination performed. Patient is engaged in higher education and employed full-time. Medication review is due. No acute issues noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 ... |
630 | 630 | At 19, general examination revealed prediabetes and anemia. Patient also reports social isolation. No procedures or medications documented. Plan to manage conditions and provide social support. | 1993-05-28 | Enrique929 | 2012-07-27 | 2012-07-27 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 849.22 | 0 | null | null | 19 | null | Prediabetes, Anemia, Social isolation | null | null | FIRST NAME:
Enrique929
NOTE:
At 19, general examination revealed prediabetes and anemia. Patient also reports social isolation. No procedures or medications documented. Plan to manage conditions and provide social support.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 N... |
631 | 631 | At age 22, comprehensive evaluation including medication reconciliation and multiple psychosocial assessments performed. Patient reports stress and is currently not in workforce. No medications documented. | 1993-05-28 | Enrique929 | 2015-07-31 | 2015-07-31 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,490.66 | 0 | null | null | 22 | HbA1c 6.0 %, Height 181.0 cm, PainScore 1.0 {score}, Weight 78.5 kg, BMI 24.0 kg/m2, DBP 89.0 mm[Hg], SBP 112.0 mm[Hg], HR 76.0 /min, RR 13.0 /min, BloodGlucose 80.1 mg/dL, BloodBUN 19.2 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 141.7 mmol/L, BloodK 4.2 mmol/L, BloodChloride 101.1 mmol/L, TotalC... | Not in workforce, Stress | null | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Enrique929
NOTE:
At age 22, comprehensive evaluation including medication reconciliation and multiple psychosocial assessments performed. Patient reports stress and is currently not in workforce. No medications documented.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
632 | 632 | At 25, general examination with social and mental health assessments including depression and substance use screening. Medication review is due. Patient is employed full-time but reports environmental violence exposure. | 1993-05-28 | Enrique929 | 2018-08-03 | 2018-08-03 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 785.58 | 0 | null | null | 25 | HbA1c 6.2 %, Height 181.0 cm, PainScore 3.0 {score}, Weight 83.2 kg, BMI 25.4 kg/m2, DBP 91.0 mm[Hg], SBP 107.0 mm[Hg], HR 85.0 /min, RR 12.0 /min, BloodGlucose 91.1 mg/dL, BloodBUN 8.0 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 139.1 mmol/L, BloodK 4.3 mmol/L, BloodChloride 110.2 mmol/L, TotalCO... | Med review due, Full-time employed, Enviro violence | null | Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Enrique929
NOTE:
At 25, general examination with social and mental health assessments including depression and substance use screening. Medication review is due. Patient is employed full-time but reports environmental violence exposure.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
633 | 633 | Emergency visit for mandible fracture at age 27. Procedures included mandible X-ray, closed reduction, bone immobilization, and orthopedic stabilization. Medications prescribed include acetaminophen/oxycodone and naproxen for pain control. | 1993-05-28 | Enrique929 | 2021-04-05 | 2021-04-05 | 12 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 1,871.78 | 0 | 263,172,003 | Fracture of mandible (disorder) | 27 | null | Mandible fx | APAP 325mg/Oxycodone 5mg tab, Naproxen Na 220mg tab | Mandible XR, Mandib fx closed reduction, Bone immob, Ortho stabilization | FIRST NAME:
Enrique929
NOTE:
Emergency visit for mandible fracture at age 27. Procedures included mandible X-ray, closed reduction, bone immobilization, and orthopedic stabilization. Medications prescribed include acetaminophen/oxycodone and naproxen for pain control.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 ... |
634 | 634 | Post-ER visit dental check up including comprehensive dental cleaning, gingival examination, and fluoride application with oral health education. Prescribed sodium fluoride oral gel. | 1993-05-28 | Enrique929 | 2021-04-16 | 2021-04-16 | 12 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 263,172,003 | Fracture of mandible (disorder) | 27 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Enrique929
NOTE:
Post-ER visit dental check up including comprehensive dental cleaning, gingival examination, and fluoride application with oral health education. Prescribed sodium fluoride oral gel.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
635 | 635 | At age 27, dental and oral range of motion exam performed. No abnormal findings documented. | 1993-05-28 | Enrique929 | 2021-05-18 | 2021-05-18 | 12 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 948.35 | 82.19 | 263,172,003 | Fracture of mandible (disorder) | 27 | null | null | null | Oral exam, ROM testing | FIRST NAME:
Enrique929
NOTE:
At age 27, dental and oral range of motion exam performed. No abnormal findings documented.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
636 | 636 | At 28, patient underwent medication reconciliation and extensive psychosocial and dental assessments. Reports part-time employment, limited social contact, and gingivitis was noted. Referred to dental care. | 1993-05-28 | Enrique929 | 2021-08-06 | 2021-08-06 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,075.86 | 0 | null | null | 28 | HbA1c 6.2 %, Height 181.0 cm, PainScore 4.0 {score}, Weight 86.8 kg, BMI 26.5 kg/m2, DBP 94.0 mm[Hg], SBP 112.0 mm[Hg], HR 70.0 /min, RR 13.0 /min, BloodGlucose 82.8 mg/dL, BloodBUN 9.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 140.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 107.1 mmol/L, TotalCO... | Part-time employed, Limited social contact, Gingivitis | null | Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Enrique929
NOTE:
At 28, patient underwent medication reconciliation and extensive psychosocial and dental assessments. Reports part-time employment, limited social contact, and gingivitis was noted. Referred to dental care.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
637 | 637 | Dental follow-up at 28 with cleaning and fluoride treatment. Continued oral health education and NaF 2.72% oral gel prescribed. | 1993-05-28 | Enrique929 | 2021-08-20 | 2021-08-20 | 12 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 66,383,009 | Gingivitis (disorder) | 28 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Enrique929
NOTE:
Dental follow-up at 28 with cleaning and fluoride treatment. Continued oral health education and NaF 2.72% oral gel prescribed.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
638 | 638 | At 30, patient presented with acute viral pharyngitis. Symptomatic treatment recommended. | 1993-05-28 | Enrique929 | 2024-03-21 | 2024-03-21 | 12 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 195,662,009 | Acute viral pharyngitis (disorder) | 30 | BodyTemp 37.4 Cel | Acute viral pharyngitis | null | null | FIRST NAME:
Enrique929
NOTE:
At 30, patient presented with acute viral pharyngitis. Symptomatic treatment recommended.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
639 | 639 | At age 31, comprehensive exam including medication reconciliation and multiple psychosocial assessments. Patient has hypertension managed with HCTZ 25mg. Medication review is due. Referred to dental care. | 1993-05-28 | Enrique929 | 2024-08-09 | 2024-08-09 | 12 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,205.06 | 0 | null | null | 31 | HbA1c 6.3 %, Height 181.0 cm, PainScore 0.0 {score}, Weight 91.5 kg, BMI 27.9 kg/m2, DBP 96.0 mm[Hg], SBP 159.0 mm[Hg], HR 78.0 /min, RR 16.0 /min, BloodGlucose 87.4 mg/dL, BloodBUN 13.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 139.7 mmol/L, BloodK 3.8 mmol/L, BloodChloride 101.6 mmol/L, TotalC... | HTN, Med review due | HCTZ 25mg tab, HCTZ 25mg tab | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Enrique929
NOTE:
At age 31, comprehensive exam including medication reconciliation and multiple psychosocial assessments. Patient has hypertension managed with HCTZ 25mg. Medication review is due. Referred to dental care.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
640 | 640 | Dental check-up at 31 with cleaning, bitewing X-rays, gingival exam, fluoride treatment, and oral health education. NaF 2.72% oral gel prescribed. | 1993-05-28 | Enrique929 | 2024-08-23 | 2024-08-23 | 12 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 31 | 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:
Enrique929
NOTE:
Dental check-up at 31 with cleaning, bitewing X-rays, gingival exam, fluoride treatment, and oral health education. NaF 2.72% oral gel prescribed.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 ... |
641 | 641 | Follow-up encounter at 31, no additional findings or interventions documented. | 1993-05-28 | Enrique929 | 2024-09-08 | 2024-09-08 | 12 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 59,621,000 | Essential hypertension (disorder) | 31 | DBP 85.0 mm[Hg], SBP 145.0 mm[Hg] | null | null | null | FIRST NAME:
Enrique929
NOTE:
Follow-up encounter at 31, no additional findings or interventions documented.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
642 | 642 | Follow-up encounter at 31, no additional findings or interventions documented. | 1993-05-28 | Enrique929 | 2024-11-07 | 2024-11-07 | 12 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 59,621,000 | Essential hypertension (disorder) | 31 | DBP 86.0 mm[Hg], SBP 146.0 mm[Hg] | null | null | null | FIRST NAME:
Enrique929
NOTE:
Follow-up encounter at 31, no additional findings or interventions documented.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
643 | 643 | Follow-up encounter at 31, no additional findings or interventions documented. | 1993-05-28 | Enrique929 | 2025-01-06 | 2025-01-06 | 12 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 59,621,000 | Essential hypertension (disorder) | 31 | DBP 86.0 mm[Hg], SBP 139.0 mm[Hg] | null | null | null | FIRST NAME:
Enrique929
NOTE:
Follow-up encounter at 31, no additional findings or interventions documented.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
644 | 644 | Patient presented for routine well child visit at age 17. No procedures or medications administered. Patient reported engagement in risk behaviors and advised on counseling and preventive health. | 1922-09-26 | Kelley882 | 1939-11-15 | 1939-11-15 | 13 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 568.2 | 0 | null | null | 17 | null | Risk behaviors | null | null | FIRST NAME:
Kelley882
NOTE:
Patient presented for routine well child visit at age 17. No procedures or medications administered. Patient reported engagement in risk behaviors and advised on counseling and preventive health.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 ... |
645 | 645 | At age 18, patient underwent general examination. History includes military service and high school education. No acute findings noted. | 1922-09-26 | Kelley882 | 1940-11-20 | 1940-11-20 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 792.52 | 0 | null | null | 18 | null | Military service, HS education | null | null | FIRST NAME:
Kelley882
NOTE:
At age 18, patient underwent general examination. History includes military service and high school education. No acute findings noted.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
646 | 646 | At 31 years, patient evaluated with general exam revealing prediabetes. Lifestyle modifications recommended to prevent progression. | 1922-09-26 | Kelley882 | 1953-12-09 | 1953-12-09 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,450.97 | 0 | null | null | 31 | null | Prediabetes | null | null | FIRST NAME:
Kelley882
NOTE:
At 31 years, patient evaluated with general exam revealing prediabetes. Lifestyle modifications recommended to prevent progression.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
647 | 647 | Check-up visit at age 31 noted anemia; further workup and management advised. | 1922-09-26 | Kelley882 | 1954-04-07 | 1954-04-07 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 228.35 | 137.01 | null | null | 31 | null | Anemia | null | null | FIRST NAME:
Kelley882
NOTE:
Check-up visit at age 31 noted anemia; further workup and management advised.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
648 | 648 | At age 48, patient admitted for sepsis. Appropriate infection control and supportive care initiated. | 1922-09-26 | Kelley882 | 1970-11-11 | 1970-11-18 | 13 | emergency | 185,347,001 | Encounter for problem (procedure) | 87.71 | 1,025.09 | 0 | 91,302,008 | Sepsis (disorder) | 48 | null | Sepsis | null | null | FIRST NAME:
Kelley882
NOTE:
At age 48, patient admitted for sepsis. Appropriate infection control and supportive care initiated.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
649 | 649 | Patient at 55 years presented with hand osteoarthritis managed with Naproxen 220mg tablets. | 1922-09-26 | Kelley882 | 1977-11-27 | 1977-11-27 | 13 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 0 | 201,834,006 | Localized primary osteoarthritis of the hand (disorder) | 55 | null | Hand OA | Naproxen Na 220mg tab | null | FIRST NAME:
Kelley882
NOTE:
Patient at 55 years presented with hand osteoarthritis managed with Naproxen 220mg tablets.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
650 | 650 | General exam at 60 years showed diagnosis of Type 2 Diabetes Mellitus. Diabetes management ongoing. | 1922-09-26 | Kelley882 | 1982-11-24 | 1982-11-24 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 983.54 | 0 | null | null | 60 | null | DM2 | null | null | FIRST NAME:
Kelley882
NOTE:
General exam at 60 years showed diagnosis of Type 2 Diabetes Mellitus. Diabetes management ongoing.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
651 | 651 | At 61, hypertriglyceridemia identified during general examination. Diet and lipid management reviewed. | 1922-09-26 | Kelley882 | 1983-11-30 | 1983-11-30 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 853.36 | 0 | null | null | 61 | null | HTG | null | null | FIRST NAME:
Kelley882
NOTE:
At 61, hypertriglyceridemia identified during general examination. Diet and lipid management reviewed.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
652 | 652 | At age 63, patient evaluated for prostate neoplasm and carcinoma in situ; oncology referral made. | 1922-09-26 | Kelley882 | 1985-12-18 | 1985-12-18 | 13 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 10,495.5 | 4,330.91 | 126,906,006 | Neoplasm of prostate (disorder) | 63 | null | Prostate neoplasm, Prostate CIS | null | null | FIRST NAME:
Kelley882
NOTE:
At age 63, patient evaluated for prostate neoplasm and carcinoma in situ; oncology referral made.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
653 | 653 | General exam revealed metabolic syndrome at 65; cardiovascular risk reduction steps advised. | 1922-09-26 | Kelley882 | 1987-12-23 | 1987-12-23 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 860.16 | 688.12 | null | null | 65 | null | MetS | null | null | FIRST NAME:
Kelley882
NOTE:
General exam revealed metabolic syndrome at 65; cardiovascular risk reduction steps advised.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
654 | 654 | Check-up visit at 66 diagnosed ischemic heart disease; ongoing cardiology management. | 1922-09-26 | Kelley882 | 1989-07-19 | 1989-07-19 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 802.11 | 641.68 | null | null | 66 | null | IHD | null | null | FIRST NAME:
Kelley882
NOTE:
Check-up visit at 66 diagnosed ischemic heart disease; ongoing cardiology management.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 Na... |
655 | 655 | Symptoms related to cardiac status managed with Metoprolol 100mg ER and NTG spray. | 1922-09-26 | Kelley882 | 1989-07-26 | 1989-07-26 | 13 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 3,536.75 | 2,829.4 | 195,662,009 | Acute viral pharyngitis (disorder) | 66 | null | null | 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray | null | FIRST NAME:
Kelley882
NOTE:
Symptoms related to cardiac status managed with Metoprolol 100mg ER and NTG spray.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3... |
656 | 656 | Abnormal cardiac imaging noted; heart function assessment and monitoring recommended. | 1922-09-26 | Kelley882 | 1989-08-12 | 1989-08-12 | 13 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,444.46 | 1,155.57 | 414,545,008 | Ischemic heart disease (disorder) | 66 | null | Abn cardiac img | null | null | FIRST NAME:
Kelley882
NOTE:
Abnormal cardiac imaging noted; heart function assessment and monitoring recommended.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 Na... |
657 | 657 | At 71, patient managed for CKD stage 1 and diabetic nephropathy, on insulin therapy; continues full-time employment. | 1922-09-26 | Kelley882 | 1994-01-26 | 1994-01-26 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,361.02 | 1,088.8 | null | null | 71 | null | CKD stage 1, Diabetic nephropathy, Full-time employed | 70/30 insulin 100u/ml susp (Humulin) | null | FIRST NAME:
Kelley882
NOTE:
At 71, patient managed for CKD stage 1 and diabetic nephropathy, on insulin therapy; continues full-time employment.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
658 | 658 | Comprehensive assessment including medication reconciliation and mental health screening performed. Insulin ongoing; stress management discussed. | 1922-09-26 | Kelley882 | 1995-01-04 | 1995-01-04 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,888.65 | 1,426.01 | null | null | 72 | SerumGlucose 124.0 mg/dL, SerumBUN 7.8 mg/dL, SerumCreatinine 1.6 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 139.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 108.4 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 137.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due, Stress | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Kelley882
NOTE:
Comprehensive assessment including medication reconciliation and mental health screening performed. Insulin ongoing; stress management discussed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 ... |
659 | 659 | Routine dental assessment and care provided to maintain oral health. | 1922-09-26 | Kelley882 | 1995-01-18 | 1995-01-18 | 13 | 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) | 72 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Routine dental assessment and care provided to maintain oral health.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
660 | 660 | Anxiety assessment conducted; medications reviewed with ongoing insulin therapy. | 1922-09-26 | Kelley882 | 1995-02-01 | 1995-02-01 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,402.54 | 1,122.02 | null | null | 72 | SerumGlucose 118.5 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 1.4 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 142.8 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.9 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 137.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {... | Med review due | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Anxiety assess | FIRST NAME:
Kelley882
NOTE:
Anxiety assessment conducted; medications reviewed with ongoing insulin therapy.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
661 | 661 | Multiple screenings completed including fall risk, depression, substance use; continued insulin therapy. | 1922-09-26 | Kelley882 | 1995-05-03 | 1995-05-03 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 951.27 | 761 | null | null | 72 | SerumGlucose 100.7 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 141.5 mmol/L, SerumK 4.5 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 27.7 mmol/L, MDRDGFR 122.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {... | Med review due | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
Multiple screenings completed including fall risk, depression, substance use; continued insulin therapy.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
662 | 662 | Patient shows progression to CKD stage 2 with diabetic microalbuminuria; social isolation and part-time employment noted. | 1922-09-26 | Kelley882 | 1995-08-02 | 1995-08-02 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 72 | SerumGlucose 102.7 mg/dL, SerumBUN 17.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 74.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | CKD stage 2, Diabetic microalbumin, Part-time employed, Social isolation | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Patient shows progression to CKD stage 2 with diabetic microalbuminuria; social isolation and part-time employment noted.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
663 | 663 | Comprehensive exam for mental health and social issues; working full-time with ongoing stress. | 1922-09-26 | Kelley882 | 1996-02-07 | 1996-02-07 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,090.84 | 787.77 | null | null | 73 | SerumGlucose 124.8 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 142.5 mmol/L, SerumK 4.5 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 23.5 mmol/L, MDRDGFR 64.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {... | Full-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Kelley882
NOTE:
Comprehensive exam for mental health and social issues; working full-time with ongoing stress.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
664 | 664 | Dental care including fluoride treatment and oral health education provided. | 1922-09-26 | Kelley882 | 1996-02-21 | 1996-02-21 | 13 | 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) | 73 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Dental care including fluoride treatment and oral health education provided.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
665 | 665 | ER visit with mental health and substance use assessment; unhealthy alcohol use identified; insulin dosing continued. | 1922-09-26 | Kelley882 | 1996-06-19 | 1996-06-19 | 13 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 1,011.9 | 809.5 | null | null | 73 | SerumGlucose 105.8 mg/dL, SerumBUN 17.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 3.9 mmol/L, SerumChloride 110.8 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 74.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {... | Med review due, Unhealthy alcohol use | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
ER visit with mental health and substance use assessment; unhealthy alcohol use identified; insulin dosing continued.
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
666 | 666 | "Medication reconciliation done during ER admission; continued insulin therapy." | 1922-09-26 | Kelley882 | 1996-06-26 | 1996-06-26 | 13 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 1,158.14 | 926.5 | null | null | 73 | SerumGlucose 100.9 mg/dL, SerumBUN 8.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 140.3 mmol/L, SerumK 4.1 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 74.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | null | 70/30 insulin 100u/ml susp (Humulin) | Med rec | FIRST NAME:
Kelley882
NOTE:
"Medication reconciliation done during ER admission; continued insulin therapy."
ENCOUNTER TYPE:
emergency
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
667 | 667 | Urgent care visit including comprehensive screenings; patient under stress; insulin managed. | 1922-09-26 | Kelley882 | 1996-07-03 | 1996-07-03 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,269.82 | 1,015.84 | null | null | 73 | SerumGlucose 112.8 mg/dL, SerumBUN 14.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 141.3 mmol/L, SerumK 4.5 mmol/L, SerumChloride 110.3 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 82.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due, Stress | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
Urgent care visit including comprehensive screenings; patient under stress; insulin managed.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
668 | 668 | Follow-up in urgent care with insulin medication review due. | 1922-09-26 | Kelley882 | 1996-07-10 | 1996-07-10 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 291.74 | 233.38 | null | null | 73 | SerumGlucose 107.2 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 141.8 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 21.2 mmol/L, MDRDGFR 61.5 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) | null | FIRST NAME:
Kelley882
NOTE:
Follow-up in urgent care with insulin medication review due.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
669 | 669 | Patient presented with symptoms of viral sinusitis; symptomatic treatment recommended. | 1922-09-26 | Kelley882 | 1996-07-17 | 1996-07-17 | 13 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 444,814,009 | Viral sinusitis (disorder) | 73 | null | Viral sinusitis | null | null | FIRST NAME:
Kelley882
NOTE:
Patient presented with symptoms of viral sinusitis; symptomatic treatment recommended.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 N... |
670 | 670 | Mental health and social screenings performed; gingivitis noted; patient not currently working. | 1922-09-26 | Kelley882 | 1996-07-24 | 1996-07-24 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 872.3 | 697.82 | null | null | 73 | SerumGlucose 100.8 mg/dL, SerumBUN 9.6 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.0 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 24.9 mmol/L, MDRDGFR 83.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Not in workforce, Gingivitis | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Kelley882
NOTE:
Mental health and social screenings performed; gingivitis noted; patient not currently working.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
671 | 671 | Continued insulin treatment documented during urgent care visit. | 1922-09-26 | Kelley882 | 1996-07-31 | 1996-07-31 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 291.74 | 233.38 | null | null | 73 | SerumGlucose 116.8 mg/dL, SerumBUN 13.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 141.6 mmol/L, SerumK 4.5 mmol/L, SerumChloride 101.3 mmol/L, TotalCO2Serum 22.6 mmol/L, MDRDGFR 61.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | null | 70/30 insulin 100u/ml susp (Humulin) | null | FIRST NAME:
Kelley882
NOTE:
Continued insulin treatment documented during urgent care visit.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
672 | 672 | Routine dental care performed including fluoride treatment. | 1922-09-26 | Kelley882 | 1996-08-07 | 1996-08-07 | 13 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 73 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Routine dental care performed including fluoride treatment.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
673 | 673 | General exam includes screening for anxiety, depression, substance use and domestic abuse; gingivitis noted; patient employed part-time. | 1922-09-26 | Kelley882 | 1997-02-12 | 1997-02-12 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,356.33 | 1,059.16 | null | null | 74 | SerumGlucose 105.7 mg/dL, SerumBUN 12.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 138.2 mmol/L, SerumK 4.1 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 26.8 mmol/L, MDRDGFR 78.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Part-time employed, IPV, Gingivitis | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Kelley882
NOTE:
General exam includes screening for anxiety, depression, substance use and domestic abuse; gingivitis noted; patient employed part-time.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
674 | 674 | Dental evaluation and care provided as part of routine check-up. | 1922-09-26 | Kelley882 | 1997-02-26 | 1997-02-26 | 13 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 66,383,009 | Gingivitis (disorder) | 74 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Dental evaluation and care provided as part of routine check-up.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
675 | 675 | Patient admitted to hospice care at age 75 for palliative management and end-of-life care planning. | 1922-09-26 | Kelley882 | 1997-10-01 | 1997-10-10 | 13 | hospice | 305,336,008 | Admission to hospice (procedure) | 137.53 | 6,177.13 | 4,755.3 | 126,906,006 | Neoplasm of prostate (disorder) | 75 | null | null | null | Certification, Notifications, Initial assess, Indiv care plan, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Pt d/c | FIRST NAME:
Kelley882
NOTE:
Patient admitted to hospice care at age 75 for palliative management and end-of-life care planning.
ENCOUNTER TYPE:
hospice
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
676 | 676 | Follow-up exam focused on social needs and fall risk; patient remains employed full-time despite limited social contact. | 1922-09-26 | Kelley882 | 1998-02-18 | 1998-02-18 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,002.52 | 802 | null | null | 75 | SerumGlucose 122.2 mg/dL, SerumBUN 8.8 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 142.3 mmol/L, SerumK 5.1 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 63.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due, Full-time employed, Limited social contact | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess | FIRST NAME:
Kelley882
NOTE:
Follow-up exam focused on social needs and fall risk; patient remains employed full-time despite limited social contact.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
677 | 677 | Assessment includes mental health screening and dental referral; patient experiencing social isolation and stress; gingivitis present. | 1922-09-26 | Kelley882 | 1999-02-10 | 1999-02-10 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 951.27 | 735.86 | null | null | 76 | SerumGlucose 107.8 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.5 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.7 mmol/L, TotalCO2Serum 28.3 mmol/L, MDRDGFR 76.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Part-time employed, Social isolation, Stress, Gingivitis | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Kelley882
NOTE:
Assessment includes mental health screening and dental referral; patient experiencing social isolation and stress; gingivitis present.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
678 | 678 | Comprehensive exam and screenings; patient currently not working. | 1922-09-26 | Kelley882 | 1999-02-24 | 1999-02-24 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,729.32 | 1,383.44 | null | null | 76 | SerumGlucose 117.6 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.4 mmol/L, SerumK 4.7 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.7 mmol/L, MDRDGFR 68.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Not in workforce | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Comprehensive exam and screenings; patient currently not working.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
679 | 679 | Dental care including fluoride treatment performed. | 1922-09-26 | Kelley882 | 1999-03-03 | 1999-03-03 | 13 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 2,829.4 | 66,383,009 | Gingivitis (disorder) | 76 | 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:
Kelley882
NOTE:
Dental care including fluoride treatment performed.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
680 | 680 | Screenings conducted for mental health and substance use; patient stressed but fully employed. | 1922-09-26 | Kelley882 | 1999-04-14 | 1999-04-14 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 951.27 | 761 | null | null | 76 | SerumGlucose 117.9 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 103.5 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 73.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due, Full-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Screenings conducted for mental health and substance use; patient stressed but fully employed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
681 | 681 | Patient progressed to CKD stage 3 with proteinuria; gingivitis noted; dental referral given. | 1922-09-26 | Kelley882 | 1999-05-12 | 1999-05-12 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 1,147.11 | 917.67 | null | null | 76 | SerumGlucose 100.5 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.4 mmol/L, SerumK 4.3 mmol/L, SerumChloride 108.2 mmol/L, TotalCO2Serum 28.5 mmol/L, MDRDGFR 47.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | CKD stage 3, Diabetic proteinuria, Gingivitis | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Morse fall assess, Dental referral | FIRST NAME:
Kelley882
NOTE:
Patient progressed to CKD stage 3 with proteinuria; gingivitis noted; dental referral given.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 ... |
682 | 682 | Advanced dental treatments performed addressing gum disease and leaking filling. | 1922-09-26 | Kelley882 | 1999-05-26 | 1999-05-26 | 13 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,262.35 | 4,209.88 | 66,383,009 | Gingivitis (disorder) | 76 | null | Gum disease, Leaking filling | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Full cusp coverage, Dental fluoride, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Advanced dental treatments performed addressing gum disease and leaking filling.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
683 | 683 | Assessments for social and substance use completed; medication review noted. | 1922-09-26 | Kelley882 | 1999-08-11 | 1999-08-11 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 76 | SerumGlucose 121.9 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.1 mmol/L, SerumK 4.0 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 51.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral | FIRST NAME:
Kelley882
NOTE:
Assessments for social and substance use completed; medication review noted.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
684 | 684 | Standard dental care performed during routine checkup. | 1922-09-26 | Kelley882 | 1999-08-25 | 1999-08-25 | 13 | 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) | 76 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Standard dental care performed during routine checkup.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
685 | 685 | Routine health and psychosocial assessments; insulin therapy ongoing. | 1922-09-26 | Kelley882 | 1999-10-13 | 1999-10-13 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 108.6 mg/dL, SerumBUN 17.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.1 mmol/L, SerumChloride 109.0 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 32.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | null | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Routine health and psychosocial assessments; insulin therapy ongoing.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
686 | 686 | Follow-up screening for depression and substance use conducted. | 1922-09-26 | Kelley882 | 1999-11-10 | 1999-11-10 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 115.7 mg/dL, SerumBUN 18.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 144.0 mmol/L, SerumK 3.7 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 23.9 mmol/L, MDRDGFR 56.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | null | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Follow-up screening for depression and substance use conducted.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
687 | 687 | Urgent care visit with comprehensive assessments; patient noted unemployed. | 1922-09-26 | Kelley882 | 1999-12-08 | 1999-12-08 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,735.1 | 1,388.06 | null | null | 77 | SerumGlucose 122.5 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 142.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 51.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Unemployed | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Urgent care visit with comprehensive assessments; patient noted unemployed.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
688 | 688 | Mental health and substance use screenings; social isolation addressed. | 1922-09-26 | Kelley882 | 2000-01-05 | 2000-01-05 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 889.85 | 711.86 | null | null | 77 | SerumGlucose 105.0 mg/dL, SerumBUN 9.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.9 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 20.4 mmol/L, MDRDGFR 35.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Med review due, Social isolation | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
Mental health and substance use screenings; social isolation addressed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
689 | 689 | Comprehensive screening including domestic abuse and substance use. | 1922-09-26 | Kelley882 | 2000-02-09 | 2000-02-09 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 116.3 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.3 mmol/L, SerumK 5.0 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 36.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | null | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
Comprehensive screening including domestic abuse and substance use.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
690 | 690 | Extensive mental health and social screening; social isolation reported. | 1922-09-26 | Kelley882 | 2000-03-01 | 2000-03-01 | 13 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,082.22 | 865.76 | null | null | 77 | SerumGlucose 111.0 mg/dL, SerumBUN 19.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.4 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 20.5 mmol/L, MDRDGFR 54.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Social isolation | 70/30 insulin 100u/ml susp (Humulin) | Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Extensive mental health and social screening; social isolation reported.
ENCOUNTER TYPE:
wellness
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
691 | 691 | Medication review performed during check-up; insulin therapy continued. | 1922-09-26 | Kelley882 | 2000-03-08 | 2000-03-08 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 234.71 | 187.76 | null | null | 77 | SerumGlucose 100.9 mg/dL, SerumBUN 14.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 136.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 105.2 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 44.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Med review due | 70/30 insulin 100u/ml susp (Humulin) | null | FIRST NAME:
Kelley882
NOTE:
Medication review performed during check-up; insulin therapy continued.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
692 | 692 | Urgent care visit with mental health and dental referral due to gingivitis. | 1922-09-26 | Kelley882 | 2000-05-10 | 2000-05-10 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,008.3 | 806.62 | null | null | 77 | SerumGlucose 121.9 mg/dL, SerumBUN 11.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.8 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 40.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Gingivitis | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral | FIRST NAME:
Kelley882
NOTE:
Urgent care visit with mental health and dental referral due to gingivitis.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
693 | 693 | Routine insulin management seen during check-up. | 1922-09-26 | Kelley882 | 2000-05-17 | 2000-05-17 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 234.71 | 187.76 | null | null | 77 | SerumGlucose 100.7 mg/dL, SerumBUN 16.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.4 mmol/L, SerumK 4.0 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 35.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {... | null | 70/30 insulin 100u/ml susp (Humulin) | null | FIRST NAME:
Kelley882
NOTE:
Routine insulin management seen during check-up.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
694 | 694 | Comprehensive dental care provided for gum disease. | 1922-09-26 | Kelley882 | 2000-05-24 | 2000-05-24 | 13 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 3,864.76 | 66,383,009 | Gingivitis (disorder) | 77 | 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:
Kelley882
NOTE:
Comprehensive dental care provided for gum disease.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
695 | 695 | Routine mental health and substance use screening; patient working full-time. | 1922-09-26 | Kelley882 | 2000-06-07 | 2000-06-07 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 109.7 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 138.3 mmol/L, SerumK 5.1 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 23.8 mmol/L, MDRDGFR 37.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no... | Full-time employed | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | FIRST NAME:
Kelley882
NOTE:
Routine mental health and substance use screening; patient working full-time.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
696 | 696 | Dental fluoride treatment and oral health education delivered. | 1922-09-26 | Kelley882 | 2000-06-21 | 2000-06-21 | 13 | 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) | 77 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | FIRST NAME:
Kelley882
NOTE:
Dental fluoride treatment and oral health education delivered.
ENCOUNTER TYPE:
ambulatory
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
697 | 697 | Screenings completed; patient part-time employed. | 1922-09-26 | Kelley882 | 2000-07-05 | 2000-07-05 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 108.2 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 56.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Part-time employed | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Morse fall assess, Depression screen, Depression screen | FIRST NAME:
Kelley882
NOTE:
Screenings completed; patient part-time employed.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
698 | 698 | Urgent care address social and mental health needs. | 1922-09-26 | Kelley882 | 2000-08-02 | 2000-08-02 | 13 | urgentcare | 702,927,004 | Urgent care clinic (environment) | 142.58 | 872.3 | 697.82 | null | null | 77 | SerumGlucose 102.1 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 136.5 mmol/L, SerumK 4.1 mmol/L, SerumChloride 109.8 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 38.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | null | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen | FIRST NAME:
Kelley882
NOTE:
Urgent care address social and mental health needs.
ENCOUNTER TYPE:
urgentcare
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
699 | 699 | Patient under stress; fully employed; routine assessments conducted. | 1922-09-26 | Kelley882 | 2000-08-30 | 2000-08-30 | 13 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 815.27 | 652.2 | null | null | 77 | SerumGlucose 112.8 mg/dL, SerumBUN 17.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 142.0 mmol/L, SerumK 4.0 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 55.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n... | Full-time employed, Stress | 70/30 insulin 100u/ml susp (Humulin) | Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | FIRST NAME:
Kelley882
NOTE:
Patient under stress; fully employed; routine assessments conducted.
ENCOUNTER TYPE:
outpatient
REASON FOR ENCOUNTER:
0 NaN
1 NaN
2 NaN
3 ... |
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