index
int64
ENCOUNTER_ID
int64
CLINICAL_NOTES
string
BIRTHDATE
string
FIRST
string
START
string
STOP
string
PATIENT_ID
int64
ENCOUNTERCLASS
string
CODE
int64
DESCRIPTION
string
BASE_ENCOUNTER_COST
float64
TOTAL_CLAIM_COST
float64
PAYER_COVERAGE
float64
REASONCODE
float64
REASONDESCRIPTION
string
PATIENT_AGE
int64
DESCRIPTION_OBSERVATIONS
string
DESCRIPTION_CONDITIONS
string
DESCRIPTION_MEDICATIONS
string
DESCRIPTION_PROCEDURES
string
Height
float64
PainScore
float64
Weight
float64
WtForLength
float64
HeadCircumferencePercentile
float64
HeadCircumference
float64
DBP
float64
SBP
float64
HR
float64
RR
float64
AutoWBCCount
float64
AutoRBCCount
float64
BloodHgb
float64
AutoHct
float64
AutoMCV
float64
MCH
float64
MCHC
float64
RDWv
float64
PlateletCount
float64
PDW
float64
MPV
float64
SmokingStatus
string
BMI
float64
BMIPercentile
float64
DrugScreen
string
TotalCholesterol
float64
HDL
float64
BodyTemp
float64
HbA1c
float64
BloodGlucose
float64
BloodBUN
float64
BloodCreatinine
float64
BloodCalcium
float64
BloodNa
float64
BloodK
float64
BloodChloride
float64
TotalCO2Blood
float64
BloodHct
float64
SerumGlucose
float64
SerumBUN
float64
SerumCreatinine
float64
SerumCalcium
float64
SerumNa
float64
SerumK
float64
SerumChloride
float64
TotalCO2Serum
float64
MDRDGFR
float64
UrineAppearance
string
UrineOdor
string
UrineClarity
string
UrineColor
string
UrineGlucoseMass
float64
UrineGlucosePresence
string
UrineBilirubinMass
float64
UrineBilirubinPresence
string
UrineKetonesMass
float64
UrineKetonesPresence
string
UrineSpGr
float64
UrinePH
float64
UrineProteinMass
float64
UrineProteinPresence
string
UrineNitrite
string
UrineHgb
string
LeukEsterase
string
SaO2
float64
FluA_PCR
string
FluB_PCR
string
RSV
string
PIV1
string
PIV2
string
PIV3
string
Rhinovirus
string
hMPV
string
AdenovirusPresence
string
COVID19
string
FEV1/FVC
float64
Symptom
string
NTproBNP
float64
RDW
float64
SerumProtein
float64
AlbuminMass
float64
TotalBilirubin
float64
AlkPhosActivity
float64
ALT
float64
AST
float64
SerumMagnesium
float64
hsTnI
float64
Ferritin
float64
Iron
float64
TIBC
float64
IronSat
float64
NYHAClass
string
NYHAAssessment
string
LVEF
float64
DeathCause
string
SerumGlobulin
float64
UACR
float64
NeutrophilPercent
float64
LymphPercent
float64
MonocytePercent
float64
EosinophilPercent
float64
BasophilPercent
float64
NeutrophilCount
float64
LymphCount
float64
MonocyteCount
float64
EosinophilCount
float64
BasophilCount
float64
DDimer
float64
LDH
float64
CK
float64
CRP
float64
PT
float64
INR
float64
PCT
float64
PregnancyTest
string
EpithelialCells
float64
Casts
string
MucusThreads
string
Bacteria
string
UrineBacteria
string
ArterialPH
float64
PCO2Arterial
float64
PaO2
float64
ArterialBicarb
float64
FiO2
float64
ForearmBoneDensity
float64
Height_units
string
PainScore_units
string
Weight_units
string
WtForLength_units
string
HeadCircumferencePercentile_units
string
HeadCircumference_units
string
DBP_units
string
SBP_units
string
HR_units
string
RR_units
string
AutoWBCCount_units
string
AutoRBCCount_units
string
BloodHgb_units
string
AutoHct_units
string
AutoMCV_units
string
MCH_units
string
MCHC_units
string
RDWv_units
string
PlateletCount_units
string
PDW_units
string
MPV_units
string
BMI_units
string
BMIPercentile_units
string
TotalCholesterol_units
string
HDL_units
string
BodyTemp_units
string
HbA1c_units
string
BloodGlucose_units
string
BloodBUN_units
string
BloodCreatinine_units
string
BloodCalcium_units
string
BloodNa_units
string
BloodK_units
string
BloodChloride_units
string
TotalCO2Blood_units
string
BloodHct_units
string
SerumGlucose_units
string
SerumBUN_units
string
SerumCreatinine_units
string
SerumCalcium_units
string
SerumNa_units
string
SerumK_units
string
SerumChloride_units
string
TotalCO2Serum_units
string
MDRDGFR_units
string
UrineGlucoseMass_units
string
UrineBilirubinMass_units
string
UrineKetonesMass_units
string
UrineSpGr_units
string
UrinePH_units
string
UrineProteinMass_units
string
SaO2_units
string
FEV1/FVC_units
string
NTproBNP_units
string
RDW_units
string
SerumProtein_units
string
AlbuminMass_units
string
TotalBilirubin_units
string
AlkPhosActivity_units
string
ALT_units
string
AST_units
string
SerumMagnesium_units
string
hsTnI_units
string
Ferritin_units
string
Iron_units
string
TIBC_units
string
IronSat_units
string
LVEF_units
string
SerumGlobulin_units
string
UACR_units
string
NeutrophilPercent_units
string
LymphPercent_units
string
MonocytePercent_units
string
EosinophilPercent_units
string
BasophilPercent_units
string
NeutrophilCount_units
string
LymphCount_units
string
MonocyteCount_units
string
EosinophilCount_units
string
BasophilCount_units
string
DDimer_units
string
LDH_units
string
CK_units
string
CRP_units
string
PT_units
string
INR_units
string
PCT_units
string
EpithelialCells_units
string
ArterialPH_units
string
PCO2Arterial_units
string
PaO2_units
string
ArterialBicarb_units
string
FiO2_units
string
ForearmBoneDensity_units
string
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
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null
null
null
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null
null
null
null
null
null
null
null
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null
null
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null
null
null
null
null
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null
null
null
null
null
null
null
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null
null
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null
null
null
null
null
null
null
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null
null
null
null
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null
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null
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null
null
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null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
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null
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null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
null
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null
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null
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null
null
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null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
null
null
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
157.9
3
68.3
null
null
null
73
119
88
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
216.6
41.4
null
6.9
105.4
15
0.6
9.5
136.9
4.8
108.1
21
null
null
null
null
null
null
null
null
null
119.6
null
null
null
null
null
null
null
null
null
null
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null
null
null
null
null
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null
null
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null
null
null
null
null
null
4.2
null
null
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null
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null
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null
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null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
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null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
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null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
1
68.3
null
null
null
63
106
82
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
227
56.3
null
6.9
108.9
19.5
0.6
8.6
137.4
4.6
107.1
23.9
null
null
null
null
null
null
null
null
null
142.5
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
7
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
1
68.3
null
null
null
66
105
62
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
219.2
47.2
null
6.9
121.9
19.9
0.7
9.5
138.2
4.4
110.7
20.5
null
null
null
null
null
null
null
null
null
78.7
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
3
68.3
null
null
null
59
100
79
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
209.5
47.9
null
6.9
114.6
14.2
0.6
9.3
142.4
4
102.2
22.2
null
null
null
null
null
null
null
null
null
159.8
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
10.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
1
68.3
null
null
null
61
102
72
14
5.6
4.7
12.3
42.4
84.9
32.1
33.8
44.7
414.8
363
9.5
Never smoked tobacco (finding) nan
27.4
null
null
229.5
48.5
null
6.9
110
14.6
0.6
9.9
139.8
3.9
110.7
24.5
null
null
null
null
null
null
null
null
null
158
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
10.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
2
68.3
null
null
null
59
109
64
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
221.5
56.9
null
6.9
109.8
12.6
0.5
9.7
138.9
5.2
108.6
26.6
null
null
null
null
null
null
null
null
null
118
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
9.9
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
0
68.3
null
null
null
64
107
93
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
229.9
43
null
6.9
102.4
15.3
0.6
9.1
142.6
3.9
108.2
26.4
null
null
null
null
null
null
null
null
null
86.7
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
10.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
37.9
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
Cel
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
0
68.3
null
null
null
65
105
69
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
207.7
52.7
null
6.9
119
9.6
0.6
9.6
136.1
3.9
102.7
21.6
null
null
null
null
null
null
null
null
null
87.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
5.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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, ...
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
2
68.3
null
null
null
63
106
66
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
237.2
46.2
null
6.9
114.5
16.4
0.5
9.2
138.8
4.3
103.1
20.5
null
null
null
null
null
null
null
null
null
99.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
12.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
3
68.3
null
null
null
65
110
86
12
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
229.9
56.2
null
6.9
116.5
10.7
0.8
9.1
138.2
3.8
109
28.8
null
null
null
null
null
null
null
null
null
66.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
14.9
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
1
68.3
null
null
null
60
108
66
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.4
null
null
215.3
55.5
null
6.9
114.9
7
0.9
9.9
139.3
3.9
106.3
25.2
null
null
null
null
null
null
null
null
null
59.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
11.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
157.9
1
68.3
null
null
null
63
110
81
14
8.4
4.7
12.5
46
84.3
28.5
33.7
43.9
252.8
175.7
9.7
Never smoked tobacco (finding) nan
27.4
null
null
215.3
43.4
null
6.9
116.4
16
0.5
8.7
137.2
5.1
102
22.7
null
null
null
null
null
null
null
null
null
124.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
11.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
mL/min/{1.73_m2}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
181
1
78.5
null
null
null
89
112
76
13
9.8
5.1
14.3
47.5
88.8
27.5
35.3
43.5
264.4
480.5
10.5
Never smoked tobacco (finding) nan
24
null
null
null
null
null
6
80.1
19.2
1.3
8.8
141.7
4.2
101.1
23.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
null
null
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
181
3
83.2
null
null
null
91
107
85
12
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
25.4
null
null
null
null
null
6.2
91.1
8
1.3
8.8
139.1
4.3
110.2
26.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
null
null
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
181
4
86.8
null
null
null
94
112
70
13
5.1
4.2
12.9
49.9
91.5
30.3
35.5
40.3
422.5
401
11.1
Never smoked tobacco (finding) nan
26.5
null
null
null
null
null
6.2
82.8
9.8
1.4
9.2
140.4
4.5
107.1
26.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
null
null
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
37.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
Cel
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
181
0
91.5
null
null
null
96
159
78
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
27.9
null
null
171.7
48.4
null
6.3
87.4
13.8
1.4
9.5
139.7
3.8
101.6
26.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
85
145
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mm[Hg]
mm[Hg]
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
86
146
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mm[Hg]
mm[Hg]
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
86
139
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mm[Hg]
mm[Hg]
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
72
97
79
15
6.5
4
17.4
35.9
86.1
28.7
34.2
39.3
250.1
184.1
10.2
Never smoked tobacco (finding) nan
28
null
null
223.3
48.9
null
4
124
7.8
1
9.6
139.4
3.9
108.4
23.7
null
124
7.8
1.6
9.6
139.4
3.9
108.4
23.7
137.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2
Urine glucose test = ++ (finding) {nominal}
1.1
Finding of bilirubin in urine (finding) {nominal}
5.5
Urine ketone test = trace (finding) {nominal}
1
6.9
89.9
Urine protein test = + (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
0.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
73
102
63
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
238.5
54.3
null
4
118.5
18.9
0.8
9.1
142.8
4.4
104.9
27.9
null
118.5
18.9
1.4
9.1
142.8
4.4
104.9
27.9
137.7
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2.1
Urine glucose test = ++ (finding) {nominal}
1.4
Finding of bilirubin in urine (finding) {nominal}
7.5
Urine ketone test = trace (finding) {nominal}
1
5.8
66.8
Urine protein test = + (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
3.5
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
0
77.3
null
null
null
77
93
93
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
216.8
58.2
null
4
100.7
18.2
1
8.7
141.5
4.5
107.6
27.7
null
100.7
18.2
1.7
8.7
141.5
4.5
107.6
27.7
122.1
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2.3
Urine glucose test = ++ (finding) {nominal}
1
Finding of bilirubin in urine (finding) {nominal}
10.4
Urine ketone test = trace (finding) {nominal}
1
7
70.8
Urine protein test = + (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
16.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
77
94
78
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
219.9
43.6
null
4
102.7
17.8
2.4
9.1
143
4.2
102.2
26.4
null
102.7
17.8
2
9.1
143
4.2
102.2
26.4
74.2
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2.1
Urine glucose test = ++ (finding) {nominal}
0.7
Finding of bilirubin in urine (finding) {nominal}
19
Urine ketone test = + (finding) {nominal}
1
6.1
343.8
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
25.5
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
76
94
80
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
237.5
46.6
null
4
124.8
13.3
2.3
10.2
142.5
4.5
102.2
23.5
null
124.8
13.3
2.1
10.2
142.5
4.5
102.2
23.5
64.1
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.5
Urine glucose test = ++ (finding) {nominal}
0.3
Finding of bilirubin in urine (finding) {nominal}
18.9
Urine ketone test = + (finding) {nominal}
1
5.2
274.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
29.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
2
77.3
null
null
null
75
101
94
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
219.7
41.3
null
4
105.8
17
1.6
10.1
143.2
3.9
110.8
20.8
null
105.8
17
1.9
10.1
143.2
3.9
110.8
20.8
74.8
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.4
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
7.5
Urine ketone test = + (finding) {nominal}
1
5.1
232
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
26.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
4
null
null
null
null
null
null
null
null
null
100.9
8.2
2.1
8.9
140.3
4.1
105.8
28
74.3
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.6
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
5.9
Urine ketone test = + (finding) {nominal}
1
6.5
238.6
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
%
null
null
null
null
null
null
null
null
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
83
94
88
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
226
47.4
null
4
112.8
14.5
1.9
8.5
141.3
4.5
110.3
23.3
null
112.8
14.5
2
8.5
141.3
4.5
110.3
23.3
82.9
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.6
Urine glucose test = ++ (finding) {nominal}
0.9
Finding of bilirubin in urine (finding) {nominal}
16.2
Urine ketone test = + (finding) {nominal}
1
6.5
332.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
19.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
4
null
null
null
null
null
null
null
null
null
107.2
9
1.9
9.4
141.8
5.1
104.3
21.2
61.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.9
Urine glucose test = ++ (finding) {nominal}
0.8
Finding of bilirubin in urine (finding) {nominal}
4.6
Urine ketone test = + (finding) {nominal}
1
5.9
232
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
%
null
null
null
null
null
null
null
null
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
2
77.3
null
null
null
74
98
69
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
228.7
55.9
null
4
100.8
9.6
1.3
9
142.7
4
108.8
24.9
null
100.8
9.6
1.9
9
142.7
4
108.8
24.9
83.2
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.8
Urine glucose test = ++ (finding) {nominal}
1.3
Finding of bilirubin in urine (finding) {nominal}
4.9
Urine ketone test = + (finding) {nominal}
1
5.2
166.1
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
20.9
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
4
null
null
null
null
null
null
null
null
null
116.8
13.9
1.9
9.3
141.6
4.5
101.3
22.6
61.4
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.7
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
15.8
Urine ketone test = + (finding) {nominal}
1
6.1
233.3
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
%
null
null
null
null
null
null
null
null
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
0
77.3
null
null
null
77
95
67
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
232.6
57.1
null
4
105.7
12.5
1.3
9
138.2
4.1
101.8
26.8
null
105.7
12.5
1.9
9
138.2
4.1
101.8
26.8
78.4
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.7
Urine glucose test = ++ (finding) {nominal}
1.3
Finding of bilirubin in urine (finding) {nominal}
3.1
Urine ketone test = + (finding) {nominal}
1
6.7
267.5
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
23.9
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
73
96
70
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
201.9
40.1
null
4
122.2
8.8
1.2
10.1
142.3
5.1
109.4
25.5
null
122.2
8.8
2.1
10.1
142.3
5.1
109.4
25.5
63.2
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.3
Urine glucose test = ++ (finding) {nominal}
0.5
Finding of bilirubin in urine (finding) {nominal}
12.8
Urine ketone test = + (finding) {nominal}
1
6.5
189.2
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
27.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
78
95
71
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
211.5
40.1
null
4
107.8
19.9
1.9
9.1
140.5
4
107.7
28.3
null
107.8
19.9
1.9
9.1
140.5
4
107.7
28.3
76.6
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
15.8
Urine ketone test = + (finding) {nominal}
1
6.8
307.4
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
28.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
0
77.3
null
null
null
76
101
74
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
237.6
51.7
null
4
117.6
10.1
2
9.1
138.4
4.7
105.8
28.7
null
117.6
10.1
1.9
9.1
138.4
4.7
105.8
28.7
68.3
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2.4
Urine glucose test = ++ (finding) {nominal}
0.7
Finding of bilirubin in urine (finding) {nominal}
13.4
Urine ketone test = + (finding) {nominal}
1
6.9
314.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
20.8
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
4
77.3
null
null
null
80
97
68
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
234.7
43.5
null
4
117.9
9.3
1.4
10.1
143
4.2
103.5
25.5
null
117.9
9.3
2
10.1
143
4.2
103.5
25.5
73.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.2
Urine glucose test = ++ (finding) {nominal}
0.6
Finding of bilirubin in urine (finding) {nominal}
10.9
Urine ketone test = + (finding) {nominal}
1
6.6
218.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
21.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
4
77.3
null
null
null
82
97
94
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
209.2
43.2
null
4
100.5
17.5
3.2
9.4
137.4
4.3
108.2
28.5
null
100.5
17.5
2.1
9.4
137.4
4.3
108.2
28.5
47
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.7
Urine glucose test = ++ (finding) {nominal}
1
Finding of bilirubin in urine (finding) {nominal}
3.3
Urine ketone test = ++ (finding) {nominal}
1
6.6
277.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
102.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
79
100
79
16
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
207.5
49.2
null
4
121.9
16.9
2.5
9.5
139.1
4
105.6
25.9
null
121.9
16.9
1.9
9.5
139.1
4
105.6
25.9
51.1
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.6
Urine glucose test = ++ (finding) {nominal}
0.9
Finding of bilirubin in urine (finding) {nominal}
19.8
Urine ketone test = ++ (finding) {nominal}
1
5.8
268.4
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
136.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
79
98
68
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
220.9
54.2
null
4
108.6
17
3.1
9.2
138.7
4.1
109
27.3
null
108.6
17
1.9
9.2
138.7
4.1
109
27.3
32
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.2
Urine glucose test = ++ (finding) {nominal}
0.7
Finding of bilirubin in urine (finding) {nominal}
0.2
Urine ketone test = ++ (finding) {nominal}
1
6
245.5
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
97.3
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
75
97
91
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
220.3
50
null
4
115.7
18.5
3.7
8.5
144
3.7
104.7
23.9
null
115.7
18.5
2
8.5
144
3.7
104.7
23.9
56.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.3
Urine glucose test = ++ (finding) {nominal}
1.4
Finding of bilirubin in urine (finding) {nominal}
14.1
Urine ketone test = ++ (finding) {nominal}
1
5.3
360.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
45.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
73
105
86
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
210.2
48.5
null
4
122.5
18.9
2.6
9.2
142.2
4.6
109.9
21.4
null
122.5
18.9
1.9
9.2
142.2
4.6
109.9
21.4
51
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.7
Urine glucose test = ++ (finding) {nominal}
0.9
Finding of bilirubin in urine (finding) {nominal}
8.2
Urine ketone test = ++ (finding) {nominal}
1
6.6
241.1
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
40.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
73
102
77
14
10
5.3
16.5
46.3
92.4
32.5
35
43.9
229.3
396.1
10.7
Never smoked tobacco (finding) nan
28
null
null
204
47
null
4
105
9.5
2.8
8.6
142.7
4.9
109.2
20.4
null
105
9.5
2.1
8.6
142.7
4.9
109.2
20.4
35.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
2
Urine glucose test = ++ (finding) {nominal}
0.7
Finding of bilirubin in urine (finding) {nominal}
11
Urine ketone test = ++ (finding) {nominal}
1
6.3
322.6
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
238.5
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
10*3/uL
10*6/uL
g/dL
%
fL
pg
g/dL
fL
10*3/uL
fL
fL
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
2
77.3
null
null
null
72
100
98
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
224.8
50.7
null
4
116.3
18.4
4.4
8.5
139.3
5
109.6
24.3
null
116.3
18.4
2.1
8.5
139.3
5
109.6
24.3
36.8
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.5
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
17.9
Urine ketone test = ++ (finding) {nominal}
1
6.1
293.1
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
254.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
85
105
78
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
211.7
44.9
null
4
111
19.1
3.1
9
141.4
5
104.1
20.5
null
111
19.1
2
9
141.4
5
104.1
20.5
54.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.5
Urine glucose test = ++ (finding) {nominal}
0.3
Finding of bilirubin in urine (finding) {nominal}
1.9
Urine ketone test = ++ (finding) {nominal}
1
6
400
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
277.2
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
4
null
null
null
null
null
null
null
null
null
100.9
14.8
2
9.8
136.2
4.2
105.2
27.2
44.5
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.9
Urine glucose test = ++ (finding) {nominal}
1.1
Finding of bilirubin in urine (finding) {nominal}
2.7
Urine ketone test = ++ (finding) {nominal}
1
5.7
297.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
%
null
null
null
null
null
null
null
null
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
72
102
86
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
216.9
44.1
null
4
121.9
11.9
2.4
9.7
141.2
4.8
102.3
24
null
121.9
11.9
2
9.7
141.2
4.8
102.3
24
40.3
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.8
Urine glucose test = ++ (finding) {nominal}
0.3
Finding of bilirubin in urine (finding) {nominal}
13.3
Urine ketone test = ++ (finding) {nominal}
1
5.3
394.8
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
90.8
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
4
null
null
null
null
null
null
null
null
null
100.7
16.8
2
10.1
143.4
4
105.3
23.3
35.3
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.5
Urine glucose test = ++ (finding) {nominal}
0.2
Finding of bilirubin in urine (finding) {nominal}
19.8
Urine ketone test = ++ (finding) {nominal}
1
5.1
369.9
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
%
null
null
null
null
null
null
null
null
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
81
105
96
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
207.1
53.7
null
4
109.7
7.9
3
9.8
138.3
5.1
101.1
23.8
null
109.7
7.9
2
9.8
138.3
5.1
101.1
23.8
37.2
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.7
Urine glucose test = ++ (finding) {nominal}
1.4
Finding of bilirubin in urine (finding) {nominal}
4.8
Urine ketone test = ++ (finding) {nominal}
1
6.1
391.6
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
220.6
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
0
77.3
null
null
null
80
94
87
13
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
229.6
43.7
null
4
108.2
18.2
2.4
8.5
139.1
3.9
109.5
21.7
null
108.2
18.2
1.9
8.5
139.1
3.9
109.5
21.7
56.8
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.3
Urine glucose test = ++ (finding) {nominal}
1.3
Finding of bilirubin in urine (finding) {nominal}
13.1
Urine ketone test = ++ (finding) {nominal}
1
5.9
364.3
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
149.1
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
1
77.3
null
null
null
75
94
68
15
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
215.1
48.7
null
4
102.1
10.1
4.2
8.7
136.5
4.1
109.8
24.3
null
102.1
10.1
1.9
8.7
136.5
4.1
109.8
24.3
38.6
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
0.9
Urine glucose test = ++ (finding) {nominal}
0.8
Finding of bilirubin in urine (finding) {nominal}
4.8
Urine ketone test = ++ (finding) {nominal}
1
5.4
276.7
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
126.4
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
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
166.3
3
77.3
null
null
null
76
97
69
14
null
null
null
null
null
null
null
null
null
null
null
Never smoked tobacco (finding) nan
28
null
null
207.8
43.3
null
4
112.8
17.6
3
8.5
142
4
102.3
27.4
null
112.8
17.6
2.1
8.5
142
4
102.3
27.4
55.1
Cloudy urine (finding) {nominal}
Urine smell ammoniacal (finding) {nominal}
Translucent (qualifier value) {nominal}
Brown color (qualifier value) {nominal}
1.1
Urine glucose test = ++ (finding) {nominal}
0.4
Finding of bilirubin in urine (finding) {nominal}
0.7
Urine ketone test = ++ (finding) {nominal}
1
6.6
285.4
Urine protein test = ++ (finding) {nominal}
Nitrite not detected in urine (finding) {nominal}
Blood not detected in urine (finding) {nominal}
Urine leukocytes not detected (finding) {nominal}
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
232.7
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
cm
{score}
kg
null
null
null
mm[Hg]
mm[Hg]
/min
/min
null
null
null
null
null
null
null
null
null
null
null
kg/m2
null
mg/dL
mg/dL
null
%
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
null
mg/dL
mg/dL
mg/dL
mg/dL
mmol/L
mmol/L
mmol/L
mmol/L
mL/min/{1.73_m2}
mg/dL
mg/dL
mg/dL
{nominal}
pH
mg/dL
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
null
mg/g
null
null
null
null
null
null
null
null
null
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