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 stringclasses 697
values | DESCRIPTION_CONDITIONS stringclasses 255
values | DESCRIPTION_MEDICATIONS stringclasses 90
values | DESCRIPTION_PROCEDURES stringclasses 303
values | OBS_Height stringclasses 107
values | OBS_ stringclasses 83
values | OBS_DrugScreen stringclasses 1
value | OBS_BodyTemp stringclasses 19
values | OBS_PainScore stringclasses 8
values | OBS_DBP stringclasses 25
values | OBS_HbA1c stringclasses 8
values | OBS_BloodHgb stringclasses 3
values | OBS_SerumGlucose stringclasses 181
values | OBS_FEV1/FVC stringclasses 18
values | OBS_Symptom stringclasses 1
value | OBS_LVEF stringclasses 9
values | OBS_SaO2 stringclasses 6
values | OBS_DeathCause stringclasses 3
values | OBS_BloodGlucose stringclasses 15
values | OBS_PregnancyTest stringclasses 1
value | OBS_ForearmBoneDensity stringclasses 1
value |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
200 | 200 | At 38, presented with symptoms consistent with chronic sinusitis; no procedures or medications reported. | 1968-06-12 | Georgene966 | 2006-06-30 | 2006-06-30 | 6 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 92.93 | 0 | 75,498,004 | Acute bacterial sinusitis (disorder) | 38 | null | Chronic sinusitis | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
201 | 201 | General exam at 40 noted need for medication review; no procedures, medications, or conditions detailed. | 1968-06-12 | Georgene966 | 2008-11-12 | 2008-11-12 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 4,192.73 | 3,295.16 | null | null | 40 | null | Med review due | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
202 | 202 | At 41, treated for Metabolic Syndrome and prediabetes, taking HCTZ, Albuterol nebulizer, and Fluticasone/Salmeterol inhalers; part-time employed; no procedures. | 1968-06-12 | Georgene966 | 2009-11-18 | 2009-11-18 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 10,516.75 | 8,377.77 | null | null | 41 | null | MetS, Prediabetes, Part-time employed | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
203 | 203 | Consultation at 41 included prescription of Errin 28-day contraceptive pack; no procedures or conditions documented. | 1968-06-12 | Georgene966 | 2010-04-29 | 2010-04-29 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 41 | null | null | Errin 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
204 | 204 | At 42, comprehensive exam with spirometry, mental health, social needs assessments, and dental referral; medications continued; patient now full-time employed but experiencing stress and environmental violence. | 1968-06-12 | Georgene966 | 2010-11-24 | 2010-11-24 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 4,639.66 | 3,615.56 | null | null | 42 | FEV1/FVC 66.1 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 81.8 kg, BMI 30.9 kg/m2, DBP 71.0 mm[Hg], SBP 141.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, BloodGlucose 67.5 mg/dL, BloodBUN 16.8 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 142.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 109... | Full-time employed, Stress, Enviro violence | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 66.1 % | null | null | null | null | null | null | null |
205 | 205 | Dental checkup at 42 included multiple procedures addressing gum disease; no new medications or conditions. | 1968-06-12 | Georgene966 | 2010-12-08 | 2010-12-08 | 6 | 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) | 42 | 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 | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
206 | 206 | At 42, received intramuscular injection of 1ml MPA 150mg/ml as part of treatment; no other details. | 1968-06-12 | Georgene966 | 2011-04-24 | 2011-04-24 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 1,250.85 | 1,000.68 | 389,095,005 | Contraception care (regime/therapy) | 42 | null | null | 1ml MPA 150mg/ml inj | IM inj | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
207 | 207 | General exam at 43 included multiple assessments and medication reconciliation; patient exhibited intimate partner violence (IPV) and gingivitis. | 1968-06-12 | Georgene966 | 2011-11-30 | 2011-11-30 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 14,411.41 | 11,529.12 | null | null | 43 | FEV1/FVC 72.4 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 83.7 kg, BMI 31.6 kg/m2, DBP 76.0 mm[Hg], SBP 137.0 mm[Hg], HR 95.0 /min, RR 14.0 /min, BloodGlucose 95.4 mg/dL, BloodBUN 10.9 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 140.0 mmol/L, BloodK 4.0 mmol/L, BloodChloride 105... | IPV, Gingivitis | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 72.4 % | null | null | null | null | null | null | null |
208 | 208 | Dental checkup at 43 involved cleaning and oral health education; no new medications or conditions. | 1968-06-12 | Georgene966 | 2011-12-14 | 2011-12-14 | 6 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 2,139.16 | 66,383,009 | Gingivitis (disorder) | 43 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
209 | 209 | At 43, received subcutaneous contraceptive implant with Etonogestrel 68mg; no other data. | 1968-06-12 | Georgene966 | 2012-04-18 | 2012-04-18 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 4,052.91 | 3,242.32 | 389,095,005 | Contraception care (regime/therapy) | 43 | null | null | Etonogestrel 68mg implant | SC contraceptive insert | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
210 | 210 | At 44, multiple assessments performed; medications continued; noted medication review due and ongoing stress. | 1968-06-12 | Georgene966 | 2012-12-05 | 2012-12-05 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 4,138.11 | 3,310.48 | null | null | 44 | FEV1/FVC 58.7 %, HbA1c 6.4 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 85.6 kg, BMI 32.3 kg/m2, DBP 71.0 mm[Hg], SBP 142.0 mm[Hg], HR 91.0 /min, RR 13.0 /min, BloodGlucose 88.6 mg/dL, BloodBUN 7.2 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.5 mmol/L, BloodChloride 101.... | Med review due, Stress | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 58.7 % | null | null | null | null | null | null | null |
211 | 211 | Prescription of Jolivette 28-day contraceptive pack at 44; no procedures or conditions. | 1968-06-12 | Georgene966 | 2013-04-13 | 2013-04-13 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 44 | null | null | Jolivette 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
212 | 212 | At 44, IUD replacement performed; no medications or conditions indicated. | 1968-06-12 | Georgene966 | 2013-05-15 | 2013-05-15 | 6 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 6,430.81 | 5,144.64 | 389,095,005 | Contraception care (regime/therapy) | 44 | null | null | null | IUD replacement | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
213 | 213 | Presented with viral sinusitis symptoms at 44, treated with Amoxicillin/Clavulanate 250/125mg tablets. | 1968-06-12 | Georgene966 | 2013-06-08 | 2013-06-08 | 6 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 444,814,009 | Viral sinusitis (disorder) | 44 | null | Viral sinusitis | Amox/Clav 250/125mg tab | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
214 | 214 | At 45, comprehensive exam with mental health and dental referrals; medications continued; no active conditions noted. | 1968-06-12 | Georgene966 | 2013-12-11 | 2013-12-11 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 5,137.28 | 4,066.59 | null | null | 45 | FEV1/FVC 77.0 %, HbA1c 6.3 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 84.4 kg, BMI 31.9 kg/m2, DBP 81.0 mm[Hg], SBP 138.0 mm[Hg], HR 94.0 /min, RR 12.0 /min, BloodGlucose 88.3 mg/dL, BloodBUN 11.6 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.9 mmol/L, BloodK 4.3 mmol/L, BloodChloride 11... | null | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 77.0 % | null | null | null | null | null | null | null |
215 | 215 | At 45, dental care including fluoride treatment and oral health education; sodium fluoride gel prescribed. | 1968-06-12 | Georgene966 | 2013-12-25 | 2013-12-25 | 6 | 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) | 45 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
216 | 216 | Presented with chronic pain including low back pain and fibromyalgia; managed with Acetaminophen 325mg tablets. | 1968-06-12 | Georgene966 | 2014-01-31 | 2014-01-31 | 6 | outpatient | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 68.44 | 82,423,001 | Chronic pain (finding) | 45 | DrugScreen Negative (qualifier value) nan | Chronic pain, Chronic LBP, Fibromyalgia | APAP 325mg tab (Tylenol) | null | null | null | Negative (qualifier value) nan | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
217 | 217 | Prescribed Errin 28-day contraceptive pack at 45; no additional details. | 1968-06-12 | Georgene966 | 2014-04-08 | 2014-04-08 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 45 | null | null | Errin 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
218 | 218 | At 46, assessment included domestic abuse screening; diagnoses of IPV and gingivitis noted; medications continued including APAP for pain. | 1968-06-12 | Georgene966 | 2014-12-17 | 2014-12-17 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 8,991.46 | 7,193.16 | null | null | 46 | FEV1/FVC 56.1 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 79.5 kg, BMI 30.0 kg/m2, DBP 80.0 mm[Hg], SBP 132.0 mm[Hg], HR 96.0 /min, RR 14.0 /min, BloodGlucose 85.1 mg/dL, BloodBUN 17.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.4 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106... | IPV, Gingivitis | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 56.1 % | null | null | null | null | null | null | null |
219 | 219 | Dental visit at 46 involved bitewing imaging, fluoride application, and oral health education; sodium fluoride gel used. | 1968-06-12 | Georgene966 | 2014-12-31 | 2014-12-31 | 6 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 2,829.4 | 66,383,009 | Gingivitis (disorder) | 46 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
220 | 222 | Contraceptive management continued with Errin 28-day pack at 46. | 1968-06-12 | Georgene966 | 2015-04-03 | 2015-04-03 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 46 | null | null | Errin 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
221 | 224 | At 47, patient presented with strep throat; throat culture performed; treated with Penicillin VK 500mg tablets. | 1968-06-12 | Georgene966 | 2015-09-25 | 2015-09-25 | 6 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 3,536.75 | 2,666.34 | 43,878,008 | Streptococcal sore throat (disorder) | 47 | BodyTemp 39.3 Cel | Strep throat | PCN VK 500mg tab | Throat culture | null | null | null | 39.3 Cel | null | null | null | null | null | null | null | null | null | null | null | null | null |
222 | 225 | Routine checkup at 47 with respiratory and social assessments; medications continued. | 1968-06-12 | Georgene966 | 2015-10-07 | 2015-10-07 | 6 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,086.86 | 3,269.48 | null | null | 47 | FEV1/FVC 62.5 %, HbA1c 5.9 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 81.1 kg, BMI 30.6 kg/m2, DBP 81.0 mm[Hg], SBP 132.0 mm[Hg], HR 73.0 /min, RR 12.0 /min, BloodGlucose 66.7 mg/dL, BloodBUN 15.4 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 140.9 mmol/L, BloodK 3.9 mmol/L, BloodChloride 105... | null | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Domestic abuse screen | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 62.5 % | null | null | null | null | null | null | null |
223 | 232 | At 47, general exam included spirometry and anxiety assessment; patient recorded as not in workforce; medications maintained. | 1968-06-12 | Georgene966 | 2015-12-23 | 2015-12-23 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 5,492.05 | 4,393.63 | null | null | 47 | FEV1/FVC 73.9 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 81.5 kg, BMI 30.8 kg/m2, DBP 81.0 mm[Hg], SBP 138.0 mm[Hg], HR 99.0 /min, RR 14.0 /min, BloodGlucose 80.3 mg/dL, BloodBUN 7.1 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 139.8 mmol/L, BloodK 4.0 mmol/L, BloodChloride 105.... | Not in workforce | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Anxiety assess | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 73.9 % | null | null | null | null | null | null | null |
224 | 243 | Contraceptive treatment continued with Errin 28-day pack. | 1968-06-12 | Georgene966 | 2016-03-28 | 2016-03-28 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 47 | null | null | Errin 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
225 | 244 | At 48, comprehensive exam with multiple screenings and dental referral; patient is full-time employed with gingivitis; medications continued. | 1968-06-12 | Georgene966 | 2016-12-28 | 2016-12-28 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 13,183.68 | 10,546.94 | null | null | 48 | FEV1/FVC 49.8 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 83.6 kg, BMI 31.6 kg/m2, DBP 81.0 mm[Hg], SBP 143.0 mm[Hg], HR 92.0 /min, RR 13.0 /min, BloodGlucose 88.9 mg/dL, BloodBUN 12.8 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 136.3 mmol/L, BloodK 5.2 mmol/L, BloodChloride 101... | Full-time employed, Gingivitis | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 49.8 % | null | null | null | null | null | null | null |
226 | 247 | Dental checkup at 48 revealed loose filling treated along with standard dental care and education. | 1968-06-12 | Georgene966 | 2017-01-11 | 2017-01-11 | 6 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 2,829.4 | 66,383,009 | Gingivitis (disorder) | 48 | null | Loose filling | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
227 | 252 | Medication management included Jolivette 28-day contraceptive pack. | 1968-06-12 | Georgene966 | 2017-03-23 | 2017-03-23 | 6 | outpatient | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 48 | null | null | Jolivette 28d pack | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
228 | 253 | At 49, multiple assessments performed; patient experiencing stress and gingivitis; medications continued. | 1968-06-12 | Georgene966 | 2018-01-03 | 2018-01-03 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 10,111.95 | 8,089.56 | null | null | 49 | FEV1/FVC 38.9 %, HbA1c 5.9 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 85.6 kg, BMI 32.4 kg/m2, DBP 73.0 mm[Hg], SBP 139.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, BloodGlucose 76.8 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 141.1 mmol/L, BloodK 4.8 mmol/L, BloodChloride 105... | Stress, Gingivitis | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 38.9 % | null | null | null | null | null | null | null |
229 | 262 | Dental visit at 49 included cleaning and fluoride application with oral health education. | 1968-06-12 | Georgene966 | 2018-01-17 | 2018-01-17 | 6 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 2,484.28 | 66,383,009 | Gingivitis (disorder) | 49 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
230 | 276 | At 49, IUD removal performed; no medication or condition updates. | 1968-06-12 | Georgene966 | 2018-04-04 | 2018-04-04 | 6 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 573.98 | 459.18 | 389,095,005 | Contraception care (regime/therapy) | 49 | null | null | null | IUD removal | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
231 | 278 | Initial prenatal visit at 49 with pregnancy test and fetal ultrasound; patient history significant for first trimester miscarriage and blighted ovum. | 1968-06-12 | Georgene966 | 2018-05-23 | 2018-05-23 | 6 | ambulatory | 424,441,002 | Prenatal initial visit (regime/therapy) | 142.58 | 9,206.03 | 7,364.82 | 72,892,002 | Normal pregnancy (finding) | 49 | null | Normal preg, 1st tri miscarriage, Blighted ovum | null | Preg test, Fetal viability US | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
232 | 280 | Prenatal visit at 49 included physical exam and depression screening; patient has history of miscarriage. | 1968-06-12 | Georgene966 | 2018-06-01 | 2018-06-01 | 6 | ambulatory | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 1,005.38 | 804.3 | 35,999,006 | Blighted ovum (disorder) | 49 | null | H/o miscarriage | null | PE, Depression screen | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
233 | 286 | Routine checkup at 50 included colonoscopy; no medication or conditions noted. | 1968-06-12 | Georgene966 | 2018-06-13 | 2018-06-13 | 6 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 7,259.46 | 5,621.17 | 275,978,004 | Screening for malignant neoplasm of colon (procedure) | 50 | null | null | null | Colonoscopy | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
234 | 288 | General exam at 50 with multiple screenings; patient currently unemployed; medications continued. | 1968-06-12 | Georgene966 | 2019-01-09 | 2019-01-09 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 4,274.11 | 3,419.28 | null | null | 50 | FEV1/FVC 30.3 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 1.0 {score}, Weight 84.3 kg, BMI 31.8 kg/m2, DBP 79.0 mm[Hg], SBP 141.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, BloodGlucose 75.8 mg/dL, BloodBUN 8.6 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 140.6 mmol/L, BloodK 5.0 mmol/L, BloodChloride 104.... | Unemployed | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess, Domestic abuse screen | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 30.3 % | null | null | null | null | null | null | null |
235 | 297 | At 51, presented with viral sinusitis; no procedures or medications recorded. | 1968-06-12 | Georgene966 | 2019-07-27 | 2019-07-27 | 6 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 444,814,009 | Viral sinusitis (disorder) | 51 | null | Viral sinusitis | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
236 | 298 | General exam at 51 indicated full-time employment but limited social contact; spirometry done; medications continued. | 1968-06-12 | Georgene966 | 2020-01-15 | 2020-01-15 | 6 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 14,535.49 | 11,628.38 | null | null | 51 | FEV1/FVC 30.1 %, HbA1c 6.2 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 80.0 kg, BMI 30.2 kg/m2, DBP 79.0 mm[Hg], SBP 137.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, BloodGlucose 84.6 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107... | Full-time employed, Limited social contact | HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI | Spirometry, Health/social needs assess | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | null | null | null | 30.1 % | null | null | null | null | null | null | null |
237 | 300 | At 51, evaluated for chronic congestive heart failure with ECG, chest x-ray, and NYHA classification. | 1968-06-12 | Georgene966 | 2020-02-28 | 2020-02-28 | 6 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 6,187.51 | 4,949.98 | 88,805,009 | Chronic congestive heart failure (disorder) | 51 | 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 80.2 kg, NTproBNP 1407.3 pg/mL, AutoWBCCount 6.7 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 11.4 g/dL, Au... | Chronic CHF | null | ECG, CXR, NYHA class assess | null | NYHAAssessment Objective evidence of severe cardiovascular disease nan | null | null | null | null | null | null | null | null | Dyspnea on exertion (finding) nan | null | null | null | null | null | null |
238 | 302 | Echo performed at 51 for cardiac assessment; medication reconciliation completed; patient on Lasix, Carvedilol, Losartan. | 1968-06-12 | Georgene966 | 2020-03-18 | 2020-03-18 | 6 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 910.9 | 728.71 | 88,805,009 | Chronic congestive heart failure (disorder) | 51 | LVEF 38.3 %, BloodGlucose 78.3 mg/dL, BloodBUN 13.4 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 141.0 mmol/L, BloodK 4.1 mmol/L, BloodChloride 102.1 mmol/L, TotalCO2Blood 27.4 mmol/L | null | Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab | Echo, Med rec | null | TotalCO2Blood 27.4 mmol/L | null | null | null | null | null | null | null | null | null | 38.3 % | null | null | null | null | null |
239 | 313 | At 52, received care involving oxygen therapy with mask and prone positioning; chest x-ray performed. | 1968-06-12 | Georgene966 | 2020-09-14 | 2020-09-14 | 6 | emergency | 185,347,001 | Encounter for problem (procedure) | 87.71 | 7,266.34 | 5,626.65 | 88,805,009 | Chronic congestive heart failure (disorder) | 52 | SaO2 80.0 %, Weight 81.3 kg, NTproBNP 1151.0 pg/mL, AutoWBCCount 5.6 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 46.6 %, AutoMCV 82.9 fL, MCH 32.9 pg, MCHC 31.7 g/dL, RDW 12.9 %, PlateletCount 205.4 10*3/uL, SerumGlucose 72.7 mg/dL, SerumBUN 18.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 8.7 mg/... | null | null | O2 mask, Prone position, CXR | null | IronSat 36.8 % | null | null | null | null | null | null | null | null | null | null | 80.0 % | null | null | null | null |
240 | 319 | Admission to ICU at 52 with extensive cardiac monitoring, multiple doses of Lasix injection, oxygen therapy, and prone positioning. | 1968-06-12 | Georgene966 | 2020-09-14 | 2020-09-23 | 6 | inpatient | 305,351,004 | Admission to intensive care unit (procedure) | 146.18 | 14,574.33 | 11,659.24 | 88,805,009 | Chronic congestive heart failure (disorder) | 52 | LVEF 36.8 %, SaO2 80.0 %, Weight 81.3 kg, NTproBNP 1130.1 pg/mL, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 5.7 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 41.6 %, AutoMCV 96.7 fL, MCH 31.1 pg, MCHC 31.6 g/dL, RDW 14.2 %, PlateletCount 254.5 10*3/uL, SerumGlucose 72.7 mg/dL, SerumBUN 18.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCa... | 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, Echo, 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, O2 mask, Prone position | null | IronSat 32.6 % | null | null | null | null | null | null | null | null | null | 36.8 % | null | null | null | null | null |
241 | 339 | "Patient passed away at age 52; death certification completed." | 1968-06-12 | Georgene966 | 2020-10-07 | 2020-10-07 | 6 | wellness | 308,646,001 | Death Certification | 136.8 | 211.38 | 169.1 | 88,805,009 | Chronic congestive heart failure (disorder) | 52 | DeathCause Chronic congestive heart failure (disorder) nan | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | Chronic congestive heart failure (disorder) nan | null | null | null |
242 | 220 | General examination completed at age 18 with no procedures or medications. Patient reported as a high school student. | 1950-04-15 | Micheal721 | 1968-06-08 | 1968-06-08 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 554.2 | null | null | 18 | null | HS education | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
243 | 221 | At age 26, patient presented with dental issues including tooth loss, no procedures or medications recorded. | 1950-04-15 | Micheal721 | 1976-07-24 | 1976-07-24 | 7 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,379.75 | 1,329.75 | 37,320,007 | Loss of teeth (disorder) | 26 | null | Tooth loss | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
244 | 223 | General exam at age 31 revealed obesity (BMI>30) and limited social contact noted; no procedures or medications provided. | 1950-04-15 | Micheal721 | 1981-06-27 | 1981-06-27 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 994.48 | 844.48 | null | null | 31 | null | Obesity BMI>30, Limited social contact | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
245 | 226 | Check-up at age 31 indicated medication review was due; patient is full-time employed. | 1950-04-15 | Micheal721 | 1982-03-27 | 1982-03-27 | 7 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 652.95 | 602.95 | null | null | 31 | null | Med review due, Full-time employed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
246 | 227 | Assessment at age 34 identified prediabetes and anemia; no procedures or medications given. | 1950-04-15 | Micheal721 | 1984-06-30 | 1984-06-30 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 998.38 | 848.38 | null | null | 34 | null | Prediabetes, Anemia | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
247 | 228 | Problem encounter at age 34 with administration of Vitamin B12 5mg/ml injection solution. | 1950-04-15 | Micheal721 | 1984-07-07 | 1984-07-07 | 7 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,092.84 | 1,042.84 | 271,737,000 | Anemia (disorder) | 34 | null | null | Vit B12 5mg/ml inj soln | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
248 | 229 | Emergency visit at age 40 due to chronic migraine; no documented procedures or medications given. | 1950-04-15 | Micheal721 | 1990-05-11 | 1990-05-11 | 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) | 40 | null | Chronic migraine | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
249 | 230 | Emergency hospital admission at age 40 for chronic pain; no procedures or medications recorded. | 1950-04-15 | Micheal721 | 1990-07-17 | 1990-07-17 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 40 | null | Chronic pain | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
250 | 231 | Encounter at age 40 for knee osteoarthritis, treated with Naproxen sodium 220mg tablets. | 1950-04-15 | Micheal721 | 1990-09-05 | 1990-09-05 | 7 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 35.55 | 239,873,007 | Osteoarthritis of knee (disorder) | 40 | null | Knee OA | Naproxen Na 220mg tab | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
251 | 233 | Emergency dental treatment for impacted molars at age 40; no medications documented. | 1950-04-15 | Micheal721 | 1990-10-13 | 1990-10-13 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 20,365.4 | 20,315.4 | 196,416,002 | Impacted molars (disorder) | 40 | null | Impacted molars | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
252 | 234 | General exam at age 42 highlighted social isolation; no procedures or medications reported. | 1950-04-15 | Micheal721 | 1992-04-25 | 1992-04-25 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 996.16 | 846.16 | null | null | 42 | null | Social isolation | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
253 | 235 | Hospital admission at age 42 with administration of extended release oxycodone 15mg every 12 hours for pain management. | 1950-04-15 | Micheal721 | 1992-07-14 | 1992-07-14 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 42 | PainScore 6.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
254 | 236 | Second emergency admission at age 42 continuing oxycodone 15mg ER every 12 hours. | 1950-04-15 | Micheal721 | 1992-10-03 | 1992-10-03 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 42 | PainScore 9.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 9.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
255 | 237 | Emergency treatment at age 42 included acetaminophen 325mg/oxycodone 5mg tablets. | 1950-04-15 | Micheal721 | 1992-11-16 | 1992-11-16 | 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) | 42 | PainScore 7.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 7.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
256 | 238 | Another hospital admission at age 42 continuing pain management with extended release oxycodone. | 1950-04-15 | Micheal721 | 1992-12-30 | 1992-12-30 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 42 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 7.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
257 | 239 | Emergency treatment involved wisdom tooth extraction at 42 with APAP 300mg/hydrocodone 5mg tablets for pain. | 1950-04-15 | Micheal721 | 1993-02-26 | 1993-02-26 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 8,919.36 | 8,869.36 | 196,416,002 | Impacted molars (disorder) | 42 | PainScore 4.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 4.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
258 | 240 | Emergent care at 43 included acetaminophen/oxycodone combination tablets for pain relief. | 1950-04-15 | Micheal721 | 1993-07-17 | 1993-07-17 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 146.18 | 0 | 124,171,000,119,105 | Chronic intractable migraine without aura (disorder) | 43 | PainScore 5.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
259 | 241 | Second wisdom tooth extraction at age 43 with opioid analgesics post-procedure. | 1950-04-15 | Micheal721 | 1994-02-10 | 1994-02-10 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,254.32 | 196,416,002 | Impacted molars (disorder) | 43 | PainScore 6.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
260 | 242 | Comprehensive exam at 44 including medication reconciliation, social and mental health assessments. Stress noted. | 1950-04-15 | Micheal721 | 1994-04-30 | 1994-04-30 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,104.93 | 954.93 | null | null | 44 | HbA1c 6.1 %, Height 193.3 cm, PainScore 3.0 {score}, Weight 108.5 kg, BMI 29.1 kg/m2, DBP 60.0 mm[Hg], SBP 131.0 mm[Hg], HR 77.0 /min, RR 14.0 /min, BloodGlucose 97.8 mg/dL, BloodBUN 9.0 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 136.7 mmol/L, BloodK 5.0 mmol/L, BloodChloride 102.7 mmol/L, TotalC... | Stress | null | Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | 6.1 % | null | null | null | null | null | null | null | null | null | null |
261 | 245 | Dental check-up at 44 included multiple procedures relating to gum disease, fluoride gel prescribed. | 1950-04-15 | Micheal721 | 1994-05-14 | 1994-05-14 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 5,262.35 | 5,212.35 | 103,697,008 | Patient referral for dental care (procedure) | 44 | null | Gum disease | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
262 | 246 | Emergency wisdom tooth extraction at 44 with APAP 300mg/hydrocodone 5mg tablets. | 1950-04-15 | Micheal721 | 1994-07-01 | 1994-07-01 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,258.14 | 196,416,002 | Impacted molars (disorder) | 44 | PainScore 6.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
263 | 248 | Repeat emergency wisdom tooth extraction at 44 with opioid pain management. | 1950-04-15 | Micheal721 | 1994-09-27 | 1994-09-27 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,258.14 | 196,416,002 | Impacted molars (disorder) | 44 | PainScore 5.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
264 | 249 | Another wisdom tooth extraction emergency at 44 with pain medications. | 1950-04-15 | Micheal721 | 1995-04-05 | 1995-04-05 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,258.14 | 196,416,002 | Impacted molars (disorder) | 44 | PainScore 8.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
265 | 250 | At 45, emergency treatment involved wisdom tooth extraction with appropriate analgesia. | 1950-04-15 | Micheal721 | 1995-05-12 | 1995-05-12 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 15,722.36 | 15,572.36 | 196,416,002 | Impacted molars (disorder) | 45 | PainScore 7.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 7.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
266 | 251 | Hospital admission at 45 with ongoing pain management using extended-release oxycodone. | 1950-04-15 | Micheal721 | 1995-06-30 | 1995-06-30 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 45 | PainScore 6.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
267 | 254 | At 45, patient presented with strep throat; throat culture performed and treated with Penicillin VK 500mg tablets. | 1950-04-15 | Micheal721 | 1995-07-13 | 1995-07-13 | 7 | ambulatory | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 3,536.75 | 3,486.75 | 43,878,008 | Streptococcal sore throat (disorder) | 45 | BodyTemp 37.8 Cel | Strep throat | PCN VK 500mg tab | Throat culture | null | null | null | 37.8 Cel | null | null | null | null | null | null | null | null | null | null | null | null | null |
268 | 255 | Emergency hospital admission at 45 with continuation of extended-release oxycodone. | 1950-04-15 | Micheal721 | 1995-09-19 | 1995-09-19 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 45 | PainScore 6.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
269 | 256 | Emergency wisdom tooth extraction at 45 with pain control meds. | 1950-04-15 | Micheal721 | 1995-12-14 | 1995-12-14 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 20,794.05 | 20,744.05 | 196,416,002 | Impacted molars (disorder) | 45 | PainScore 8.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
270 | 257 | ER admission at 45 for wrist sprain treated with ibuprofen 200mg tablets. | 1950-04-15 | Micheal721 | 1996-03-07 | 1996-03-07 | 7 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 146.18 | 96.18 | 384,709,000 | Sprain (morphologic abnormality) | 45 | null | Sprain, Wrist sprain | Ibuprofen 200mg tab | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
271 | 258 | Emergency treatment providing acetaminophen/oxycodone combination tablets. | 1950-04-15 | Micheal721 | 1996-03-20 | 1996-03-20 | 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) | 45 | PainScore 8.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
272 | 259 | General examination at 46 with medications including Lisinopril for hypertension, dental referral for gingivitis, social and substance use assessments. | 1950-04-15 | Micheal721 | 1996-05-04 | 1996-05-04 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,150.44 | 1,000.44 | null | null | 46 | HbA1c 6.2 %, Height 193.3 cm, PainScore 0.0 {score}, Weight 113.6 kg, BMI 30.4 kg/m2, DBP 96.0 mm[Hg], SBP 153.0 mm[Hg], HR 76.0 /min, RR 14.0 /min, BloodGlucose 96.3 mg/dL, BloodBUN 16.9 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 138.7 mmol/L, BloodK 4.7 mmol/L, BloodChloride 101.3 mmol/L, Tota... | HTN, Med review due, Part-time employed, Gingivitis | Lisinopril 10mg tab, Lisinopril 10mg tab | Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | 6.2 % | null | null | null | null | null | null | null | null | null | null |
273 | 260 | Wisdom tooth extraction at 46 with opioid analgesic use. | 1950-04-15 | Micheal721 | 1996-05-10 | 1996-05-10 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 15,814.22 | 15,764.22 | 196,416,002 | Impacted molars (disorder) | 46 | PainScore 4.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 4.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
274 | 261 | Dental check-up at 46 with cleaning procedures and oral health education. | 1950-04-15 | Micheal721 | 1996-05-18 | 1996-05-18 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 3,055.35 | 66,383,009 | Gingivitis (disorder) | 46 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
275 | 263 | Follow-up visit at 46 with introduction of hydrochlorothiazide 25mg tablets. | 1950-04-15 | Micheal721 | 1996-06-03 | 1996-06-03 | 7 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 35.55 | 59,621,000 | Essential hypertension (disorder) | 46 | DBP 75.0 mm[Hg], SBP 133.0 mm[Hg] | null | HCTZ 25mg tab | null | null | SBP 133.0 mm[Hg] | null | null | null | 75.0 mm[Hg] | null | null | null | null | null | null | null | null | null | null | null |
276 | 264 | Repeat emergency wisdom tooth extraction with analgesics. | 1950-04-15 | Micheal721 | 1996-08-13 | 1996-08-13 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 9,690.62 | 9,640.62 | 196,416,002 | Impacted molars (disorder) | 46 | PainScore 8.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
277 | 265 | Another wisdom tooth extraction emergency at 46 with pain medication. | 1950-04-15 | Micheal721 | 1997-01-15 | 1997-01-15 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,258.14 | 196,416,002 | Impacted molars (disorder) | 46 | PainScore 4.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 4.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
278 | 266 | At 46, emergency admission with rib fracture confirmed by chest x-ray and immobilization; acetaminophen 325mg used for pain. | 1950-04-15 | Micheal721 | 1997-02-26 | 1997-02-26 | 7 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 10,124.64 | 10,074.64 | 125,605,004 | Fracture of bone (disorder) | 46 | null | Bone fx, Rib fx | APAP 325mg tab | CXR, Bone immob | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
279 | 267 | Emergency treatment included wisdom tooth extraction with APAP/hydrocodone analgesics. | 1950-04-15 | Micheal721 | 1997-03-21 | 1997-03-21 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 20,794.05 | 20,744.05 | 196,416,002 | Impacted molars (disorder) | 46 | PainScore 5.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
280 | 268 | Comprehensive exam at 47 included multiple health and social assessments, on meds HCTZ and lisinopril, gingivitis noted. | 1950-04-15 | Micheal721 | 1997-05-10 | 1997-05-10 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,002.59 | 852.59 | null | null | 47 | HbA1c 6.3 %, Height 193.3 cm, PainScore 3.0 {score}, Weight 104.8 kg, BMI 28.1 kg/m2, DBP 72.0 mm[Hg], SBP 120.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 77.8 mg/dL, BloodBUN 12.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 105.7 mmol/L, Total... | Med review due, Gingivitis | HCTZ 25mg tab, Lisinopril 10mg tab | Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | 6.3 % | null | null | null | null | null | null | null | null | null | null |
281 | 269 | Wisdom tooth extraction emergency at 47 with pain medication. | 1950-04-15 | Micheal721 | 1997-05-11 | 1997-05-11 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 20,794.05 | 20,744.05 | 196,416,002 | Impacted molars (disorder) | 47 | PainScore 4.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 4.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
282 | 270 | Routine 47-year dental check with scaling and education. | 1950-04-15 | Micheal721 | 1997-05-24 | 1997-05-24 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 3,055.35 | 66,383,009 | Gingivitis (disorder) | 47 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
283 | 271 | General check-up at 47 with no specific procedures or medications. | 1950-04-15 | Micheal721 | 1997-05-31 | 1997-05-31 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 85.55 | 35.55 | 33,737,001 | Fracture of rib (disorder) | 47 | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
284 | 272 | Hospital admission at 47 involving extended release oxycodone for pain. | 1950-04-15 | Micheal721 | 1997-09-06 | 1997-09-06 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 47 | PainScore 8.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
285 | 273 | Emergency treatment providing acetaminophen/oxycodone tablets. | 1950-04-15 | Micheal721 | 1997-11-12 | 1997-11-12 | 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) | 47 | PainScore 5.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
286 | 274 | Repeated hospital admission at 47 with oxycodone ER. | 1950-04-15 | Micheal721 | 1997-12-19 | 1997-12-19 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 47 | PainScore 7.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 7.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
287 | 275 | Another emergency hospital admission at 47 with continuing strong pain management. | 1950-04-15 | Micheal721 | 1998-02-01 | 1998-02-01 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 47 | PainScore 8.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
288 | 277 | General exam at 48 including multiple mental health and substance use assessments; patient full-time employed, meds continued. | 1950-04-15 | Micheal721 | 1998-05-16 | 1998-05-16 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 785.58 | 635.58 | null | null | 48 | HbA1c 6.3 %, Height 193.3 cm, PainScore 4.0 {score}, Weight 106.8 kg, BMI 28.6 kg/m2, DBP 68.0 mm[Hg], SBP 122.0 mm[Hg], HR 84.0 /min, RR 13.0 /min, BloodGlucose 75.1 mg/dL, BloodBUN 11.7 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 141.5 mmol/L, BloodK 4.1 mmol/L, BloodChloride 104.6 mmol/L, Tota... | Med review due, Full-time employed | HCTZ 25mg tab, Lisinopril 10mg tab | Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | 6.3 % | null | null | null | null | null | null | null | null | null | null |
289 | 287 | Dental check-up at 48 with fluoride treatment and dental hygiene procedures. | 1950-04-15 | Micheal721 | 1998-05-30 | 1998-05-30 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 3,055.35 | 103,697,008 | Patient referral for dental care (procedure) | 48 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
290 | 291 | Emergency treatment at 48 including acetaminophen/oxycodone tablets. | 1950-04-15 | Micheal721 | 1998-09-23 | 1998-09-23 | 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) | 48 | PainScore 6.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
291 | 293 | Hospital admission with strong pain medication at 48. | 1950-04-15 | Micheal721 | 1998-11-13 | 1998-11-13 | 7 | emergency | 183,452,005 | Emergency hospital admission (procedure) | 87.71 | 87.71 | 37.71 | 82,423,001 | Chronic pain (finding) | 48 | PainScore 8.0 {score} | null | AD 12hr Oxycodone 15mg ER tab | null | null | null | null | null | 8.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
292 | 295 | Emergency wisdom tooth extraction at 49 with adequate pain control. | 1950-04-15 | Micheal721 | 1999-05-06 | 1999-05-06 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 5,308.14 | 5,158.14 | 196,416,002 | Impacted molars (disorder) | 49 | PainScore 5.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
293 | 296 | Comprehensive exam at 49 including mental health and dental assessment; social isolation and stress noted. | 1950-04-15 | Micheal721 | 1999-05-22 | 1999-05-22 | 7 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 853.36 | 803.36 | null | null | 49 | HbA1c 5.9 %, Height 193.3 cm, PainScore 1.0 {score}, Weight 109.1 kg, BMI 29.2 kg/m2, DBP 70.0 mm[Hg], SBP 123.0 mm[Hg], HR 93.0 /min, RR 15.0 /min, BloodGlucose 66.2 mg/dL, BloodBUN 12.2 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.5 mmol/L, BloodChloride 107.4 mmol/L, Tota... | Social isolation, Stress, Gingivitis | HCTZ 25mg tab, Lisinopril 10mg tab | Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral | null | SmokingStatus Never smoked tobacco (finding) nan | null | null | null | null | 5.9 % | null | null | null | null | null | null | null | null | null | null |
294 | 299 | At 49, extensive dental procedures performed for gum disease. | 1950-04-15 | Micheal721 | 1999-06-05 | 1999-06-05 | 7 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 4,780.95 | 66,383,009 | Gingivitis (disorder) | 49 | 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 | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
295 | 301 | Emergency wisdom tooth extraction with pain medication at 49. | 1950-04-15 | Micheal721 | 1999-07-10 | 1999-07-10 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 20,794.05 | 20,744.05 | 196,416,002 | Impacted molars (disorder) | 49 | PainScore 6.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 6.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
296 | 304 | Repeat emergency wisdom tooth extraction with analgesics. | 1950-04-15 | Micheal721 | 1999-08-16 | 1999-08-16 | 7 | emergency | 182,813,001 | Emergency treatment (procedure) | 146.18 | 17,577.25 | 17,527.25 | 196,416,002 | Impacted molars (disorder) | 49 | PainScore 7.0 {score} | null | APAP 300mg/Hydrocodone 5mg tab | Wisdom tooth ext | null | null | null | null | 7.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
297 | 305 | Dental consult with bitewing and impressions performed for dental prosthetics. | 1950-04-15 | Micheal721 | 1999-09-06 | 1999-09-06 | 7 | ambulatory | 185,347,001 | Encounter for problem (procedure) | 85.55 | 1,379.75 | 1,329.75 | 37,320,007 | Loss of teeth (disorder) | 49 | null | null | null | Dental consult, Dental bitewing, Dental impression | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
298 | 306 | Follow-up encounter for denture fitting at 49. | 1950-04-15 | Micheal721 | 1999-09-20 | 1999-09-21 | 7 | ambulatory | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 516.95 | 466.95 | 37,320,007 | Loss of teeth (disorder) | 49 | null | null | null | Denture fitting | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null | null |
299 | 307 | Emergency treatment for pain with acetaminophen/oxycodone tablets. | 1950-04-15 | Micheal721 | 2000-01-04 | 2000-01-04 | 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) | 49 | PainScore 5.0 {score} | null | APAP 325mg/Oxycodone 5mg tab | null | null | null | null | null | 5.0 score | null | null | null | null | null | null | null | null | null | null | null | null |
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