iscg34/finalproject · Datasets at Hugging Face

700

Medication reconciliation done during check up; insulin continued.

1922-09-26

Kelley882

2000-09-06

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

670.99

536.78

null

77

SerumGlucose 100.4 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 141.0 mmol/L, SerumK 4.9 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 20.1 mmol/L, MDRDGFR 48.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

100.4

19.9

2.1

9.3

141

4.9

107.1

20.1

48.8

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}

0.3

Finding of bilirubin in urine (finding) {nominal}

9

Urine ketone test = ++ (finding) {nominal}

1

5.9

230.7

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

701

Urgent care visit with comprehensive screening and medication review.

1922-09-26

Kelley882

2000-10-04

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,735.1

1,303.18

null

78

SerumGlucose 123.1 mg/dL, SerumBUN 8.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 27.6 mmol/L, MDRDGFR 50.5 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)

Med rec, 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

74

99

94

15

null

Never smoked tobacco (finding) nan

28

null

230.7

42.9

null

4

123.1

8.3

2.5

9.1

140.6

4.4

108.8

27.6

null

123.1

8.3

1.9

9.1

140.6

4.4

108.8

27.6

50.5

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.8

Urine glucose test = ++ (finding) {nominal}

1.4

Finding of bilirubin in urine (finding) {nominal}

13

Urine ketone test = ++ (finding) {nominal}

1

5.4

370.4

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

142.6

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

702

Mental health and dental screening completed; patient part-time employed and stressed with gingivitis present.

1922-09-26

Kelley882

2000-10-25

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

78

SerumGlucose 115.6 mg/dL, SerumBUN 8.0 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.0 mmol/L, SerumChloride 110.4 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 48.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Med review due, Part-time employed, Stress, 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

75

98

78

12

null

Never smoked tobacco (finding) nan

28

null

226.2

41.5

null

4

115.6

8

4

9.7

142.6

4

110.4

27.4

null

115.6

8

2.1

9.7

142.6

4

110.4

27.4

48.7

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

Finding of bilirubin in urine (finding) {nominal}

12.6

Urine ketone test = ++ (finding) {nominal}

1

5.7

355.6

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

211.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

703

Routine insulin therapy continued.

1922-09-26

Kelley882

2000-11-01

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

187.76

null

78

SerumGlucose 115.5 mg/dL, SerumBUN 11.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 140.1 mmol/L, SerumK 4.9 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 38.4 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

4

null

115.5

11.1

2

9.2

140.1

4.9

102.2

28

38.4

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

1.9

Urine glucose test = ++ (finding) {nominal}

0.9

Finding of bilirubin in urine (finding) {nominal}

18

Urine ketone test = ++ (finding) {nominal}

1

6.8

260.1

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

704

Dental care including fluoride treatment administered.

1922-09-26

Kelley882

2000-11-08

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

78

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed

null

705

Patient socially isolated with gingivitis; works full-time; multiple screenings done.

1922-09-26

Kelley882

2001-01-03

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

78

SerumGlucose 106.6 mg/dL, SerumBUN 11.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 137.8 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.8 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 44.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Full-time employed, Social isolation, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

1

77.3

null

78

93

81

16

null

Never smoked tobacco (finding) nan

28

null

201.1

47.1

null

4

106.6

11.3

2.8

9.5

137.8

4.2

109.8

21.1

null

106.6

11.3

2

9.5

137.8

4.2

109.8

21.1

44.5

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}

0.6

Finding of bilirubin in urine (finding) {nominal}

6.8

Urine ketone test = ++ (finding) {nominal}

1

5.1

336.4

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

107.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

706

Further dental care and fluoride treatment provided.

1922-09-26

Kelley882

2001-01-17

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,829.4

66,383,009

Gingivitis (disorder)

78

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed

null

707

Patient not working; urgent care visit with multiple screenings and dental referral.

1922-09-26

Kelley882

2001-01-31

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

78

SerumGlucose 113.5 mg/dL, SerumBUN 19.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.3 mmol/L, SerumK 4.7 mmol/L, SerumChloride 101.9 mmol/L, TotalCO2Serum 25.8 mmol/L, MDRDGFR 56.3 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)

Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

2

77.3

null

76

92

64

14

null

Never smoked tobacco (finding) nan

28

null

218.2

53.2

null

4

113.5

19.1

4.2

9.1

143.3

4.7

101.9

25.8

null

113.5

19.1

2

9.1

143.3

4.7

101.9

25.8

56.3

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}

0.3

Finding of bilirubin in urine (finding) {nominal}

10.5

Urine ketone test = ++ (finding) {nominal}

1

5.5

248.4

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

223.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

708

Advanced dental treatment including full cusp coverage for caries completed.

1922-09-26

Kelley882

2001-02-14

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,968.15

3,174.52

103,697,008

Patient referral for dental care (procedure)

78

null

Dental caries

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed

null

709

Patient works part-time with limited social contact; gingivitis present and addressed.

1922-09-26

Kelley882

2001-02-28

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

78

SerumGlucose 105.4 mg/dL, SerumBUN 14.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.4 mmol/L, SerumChloride 106.5 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 30.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Part-time employed, Limited social contact, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

1

77.3

null

74

95

93

13

null

Never smoked tobacco (finding) nan

28

null

200.8

57.2

null

4

105.4

14.4

2.8

8.7

138

4.4

106.5

24

null

105.4

14.4

2

8.7

138

4.4

106.5

24

30.4

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

5

Urine ketone test = ++ (finding) {nominal}

1

5.1

366.1

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

46.2

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

710

Routine general examination and medication reconciliation conducted.

1922-09-26

Kelley882

2001-03-07

13

wellness

162,673,000

General examination of patient (procedure)

136.8

588.47

470.77

null

78

SerumGlucose 109.4 mg/dL, SerumBUN 15.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 139.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 105.0 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 57.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

109.4

15.2

2.1

9.3

139.6

3.9

105

20.6

57.4

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}

0.9

Finding of bilirubin in urine (finding) {nominal}

11.2

Urine ketone test = ++ (finding) {nominal}

1

6.8

377.7

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

711

Dental care with fluoride treatment provided.

1922-09-26

Kelley882

2001-03-14

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

78

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed

null

712

Patient currently not in workforce; medication review conducted.

1922-09-26

Kelley882

2001-04-04

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

951.27

761

null

78

SerumGlucose 124.2 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.3 mmol/L, TotalCO2Serum 24.9 mmol/L, MDRDGFR 58.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Med review due, Not in workforce

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess

166.3

2

77.3

null

72

93

70

14

null

Never smoked tobacco (finding) nan

28

null

219

48.8

null

4

124.2

9.3

2.3

9.1

138.7

4.4

108.3

24.9

null

124.2

9.3

1.9

9.1

138.7

4.4

108.3

24.9

58.2

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}

0.3

Finding of bilirubin in urine (finding) {nominal}

1.6

Urine ketone test = ++ (finding) {nominal}

1

5.2

230.2

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

193.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

713

Multiple assessments for anxiety, depression, and drug use; patient stressed and socially isolated; dental referral made.

1922-09-26

Kelley882

2001-05-02

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

78

SerumGlucose 124.8 mg/dL, SerumBUN 19.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 141.7 mmol/L, SerumK 4.9 mmol/L, SerumChloride 104.2 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 31.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Part-time employed, Social isolation, Stress

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

1

77.3

null

73

93

64

13

null

Never smoked tobacco (finding) nan

28

null

210.7

58.3

null

4

124.8

19.3

3.7

9.9

141.7

4.9

104.2

27.9

null

124.8

19.3

1.9

9.9

141.7

4.9

104.2

27.9

31

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}

1.4

Finding of bilirubin in urine (finding) {nominal}

16.2

Urine ketone test = ++ (finding) {nominal}

1

6.2

321.4

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

178.2

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

714

Routine dental evaluation and care.

1922-09-26

Kelley882

2001-05-16

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)

78

null

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed

null

715

Urgent care evaluation including psychosocial screenings; patient working full-time.

1922-09-26

Kelley882

2001-05-30

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

78

SerumGlucose 100.0 mg/dL, SerumBUN 8.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 141.4 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.7 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 51.3 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, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

0

77.3

null

77

95

65

15

null

Never smoked tobacco (finding) nan

28

null

211.2

56.6

null

4

100

8.8

2.8

9.1

141.4

4

109.7

23.1

null

100

8.8

2

9.1

141.4

4

109.7

23.1

51.3

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}

0.9

Finding of bilirubin in urine (finding) {nominal}

11.4

Urine ketone test = ++ (finding) {nominal}

1

5.4

237

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

189.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

716

Medication reconciliation and screenings performed; dental referral given.

1922-09-26

Kelley882

2001-07-04

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,126.47

901.16

null

78

SerumGlucose 109.7 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 136.4 mmol/L, SerumK 4.5 mmol/L, SerumChloride 102.8 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 44.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Dental referral

166.3

3

77.3

null

73

96

89

13

null

Never smoked tobacco (finding) nan

28

null

201.5

57.7

null

4

109.7

13.2

4.3

9.6

136.4

4.5

102.8

25.5

null

109.7

13.2

2

9.6

136.4

4.5

102.8

25.5

44.9

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2.5

Urine glucose test = ++ (finding) {nominal}

1.4

Finding of bilirubin in urine (finding) {nominal}

19.6

Urine ketone test = ++ (finding) {nominal}

1

5.5

275.4

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

81.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

717

Standard dental care provided.

1922-09-26

Kelley882

2001-07-18

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)

78

null

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed

null

718

Urgent care visit with medication and anxiety assessments.

1922-09-26

Kelley882

2001-08-01

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,088

870.38

null

78

SerumGlucose 101.3 mg/dL, SerumBUN 10.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 139.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 102.0 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 47.5 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)

Med rec, Health/social needs assess, Anxiety assess

166.3

2

77.3

null

76

93

79

14

null

Never smoked tobacco (finding) nan

28

null

215.1

56.2

null

4

101.3

10.5

2.6

9.2

139.9

4.7

102

23.1

null

101.3

10.5

2.1

9.2

139.9

4.7

102

23.1

47.5

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

15.4

Urine ketone test = ++ (finding) {nominal}

1

6.6

211

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

198.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

719

Patient undergoes multiple mental health and substance use assessments; medication review ongoing.

1922-09-26

Kelley882

2001-09-26

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

79

SerumGlucose 100.4 mg/dL, SerumBUN 12.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 136.6 mmol/L, SerumK 4.8 mmol/L, SerumChloride 101.2 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 42.8 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, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

0

77.3

null

78

99

77

13

null

Never smoked tobacco (finding) nan

28

null

223.4

57.6

null

4

100.4

12.1

2.4

9.9

136.6

4.8

101.2

22.3

null

100.4

12.1

1.9

9.9

136.6

4.8

101.2

22.3

42.8

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}

0.6

Finding of bilirubin in urine (finding) {nominal}

17.7

Urine ketone test = ++ (finding) {nominal}

1

5.6

332.6

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

141.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

720

Urgent care visit addressing social isolation, stress, and dental care.

1922-09-26

Kelley882

2001-10-31

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

79

SerumGlucose 117.2 mg/dL, SerumBUN 7.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 141.1 mmol/L, SerumK 4.8 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 43.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Social isolation, Stress

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

2

77.3

null

73

99

61

15

null

Never smoked tobacco (finding) nan

28

null

229

48.2

null

4

117.2

7.1

3.5

8.8

141.1

4.8

109.5

22.3

null

117.2

7.1

1.9

8.8

141.1

4.8

109.5

22.3

43.4

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.6

Urine glucose test = ++ (finding) {nominal}

0.8

Finding of bilirubin in urine (finding) {nominal}

7.8

Urine ketone test = ++ (finding) {nominal}

1

6.6

211.7

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

293.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

721

Routine dental care.

1922-09-26

Kelley882

2001-11-14

13

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)

79

null

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed

null

722

Dental referral due to gingivitis in context of multiple mental health assessments.

1922-09-26

Kelley882

2001-11-28

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

79

SerumGlucose 110.5 mg/dL, SerumBUN 15.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 137.8 mmol/L, SerumK 4.7 mmol/L, SerumChloride 108.1 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 56.1 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, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

2

77.3

null

81

93

61

12

null

Never smoked tobacco (finding) nan

28

null

213.3

58.2

null

4

110.5

15.3

4

8.7

137.8

4.7

108.1

27.3

null

110.5

15.3

1.9

8.7

137.8

4.7

108.1

27.3

56.1

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

15.5

Urine ketone test = ++ (finding) {nominal}

1

5.4

288.6

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

41.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

723

Dental fluoride applied as part of routine care.

1922-09-26

Kelley882

2001-12-12

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

79

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed

null

724

Comprehensive mental health and medication review completed.

1922-09-26

Kelley882

2001-12-26

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

1,678.07

1,342.44

null

79

SerumGlucose 109.6 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 101.6 mmol/L, TotalCO2Serum 20.4 mmol/L, MDRDGFR 50.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen

166.3

2

77.3

null

74

94

82

14

null

Never smoked tobacco (finding) nan

28

null

207.6

45.1

null

4

109.6

13.2

3

9.6

139.7

4.5

101.6

20.4

null

109.6

13.2

2

9.6

139.7

4.5

101.6

20.4

50.3

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2.2

Urine glucose test = ++ (finding) {nominal}

0.8

Finding of bilirubin in urine (finding) {nominal}

4

Urine ketone test = ++ (finding) {nominal}

1

5.3

202.3

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

60

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

725

Multiple assessments and dental care advised; patient part-time employed.

1922-09-26

Kelley882

2002-01-30

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

1,089.85

871.86

null

79

SerumGlucose 107.0 mg/dL, SerumBUN 14.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.9 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 44.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Part-time employed, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

0

77.3

null

78

97

92

15

null

Never smoked tobacco (finding) nan

28

null

215.1

57.7

null

4

107

14.5

3.1

9.1

139.6

4.9

109.4

21.1

null

107

14.5

2

9.1

139.6

4.9

109.4

21.1

44.9

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}

0.6

Finding of bilirubin in urine (finding) {nominal}

17.2

Urine ketone test = ++ (finding) {nominal}

1

5.6

250.4

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

54.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

726

Dental treatment provided to address lost filling.

1922-09-26

Kelley882

2002-02-13

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,829.4

66,383,009

Gingivitis (disorder)

79

null

Lost filling

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed

null

727

728

Urgent care visit addressing social isolation and mental health; medication review performed.

1922-09-26

Kelley882

2002-02-27

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,220.09

976.05

null

79

SerumGlucose 117.7 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.0 mmol/L, SerumK 5.1 mmol/L, SerumChloride 103.6 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 54.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Social isolation

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess

166.3

1

77.3

null

78

102

78

12

null

Never smoked tobacco (finding) nan

28

null

221.2

58.5

null

4

117.7

13.2

3

8.7

143

5.1

103.6

27.4

null

117.7

13.2

2

8.7

143

5.1

103.6

27.4

54.1

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}

8.6

Urine ketone test = ++ (finding) {nominal}

1

5.2

276.3

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

129

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

728

731

Patient working full-time; medication and psychosocial assessments performed.

1922-09-26

Kelley882

2002-03-13

13

wellness

162,673,000

General examination of patient (procedure)

136.8

866.52

693.2

null

79

SerumGlucose 120.4 mg/dL, SerumBUN 7.1 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.8 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 26.7 mmol/L, MDRDGFR 53.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Med review due, Full-time employed

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess

166.3

2

77.3

null

74

109

86

13

null

Never smoked tobacco (finding) nan

28

null

219.1

41.5

null

4

120.4

7.1

4.1

8.7

139.2

4.8

102.2

26.7

null

120.4

7.1

2.1

8.7

139.2

4.8

102.2

26.7

53.3

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}

9.6

Urine ketone test = ++ (finding) {nominal}

1

6.2

375.6

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

99.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

729

733

Patient had chest X-ray in ER for evaluation to rule out lung cancer.

1922-09-26

Kelley882

2002-03-18

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

3,429.38

2,743.5

162,573,006

Suspected lung cancer (situation)

79

null

R/O lung CA

null

CXR

null

730

734

Urgent care visit with comprehensive assessments; patient working part-time.

1922-09-26

Kelley882

2002-03-27

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,224

979.18

null

79

SerumGlucose 117.1 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.6 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 47.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Part-time employed

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

4

77.3

null

76

98

95

15

null

Never smoked tobacco (finding) nan

28

null

225.6

58.6

null

4

117.1

7.9

2.6

8.6

141.6

5.1

104.3

23.7

null

117.1

7.9

2

8.6

141.6

5.1

104.3

23.7

47.1

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

17.9

Urine ketone test = ++ (finding) {nominal}

1

5

249.6

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

258.6

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

731

736

Medication review done during urgent care visit.

1922-09-26

Kelley882

2002-04-03

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

637.29

509.82

null

79

SerumGlucose 116.0 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 140.8 mmol/L, SerumK 5.2 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 25.4 mmol/L, MDRDGFR 40.6 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)

Med rec

null

4

null

116

18.9

2

8.8

140.8

5.2

110

25.4

40.6

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}

11.3

Urine ketone test = ++ (finding) {nominal}

1

6.4

241

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

732

738

"CT scan performed for cancer assessment."

1922-09-26

Kelley882

2002-04-10

13

outpatient

185,347,001

Encounter for problem (procedure)

85.55

4,071.34

3,257.07

162,573,006

Suspected lung cancer (situation)

79

null

CT CA

null

733

739

Sputum microbial tests done confirming diagnosis of non-small cell lung cancer.

1922-09-26

Kelley882

2002-04-15

13

outpatient

185,347,001

Encounter for problem (procedure)

85.55

2,715.8

2,172.64

254,637,007

Non-small cell lung cancer (disorder)

79

null

NSCLC

null

Sputum micro

null

734

740

Patient undergoing mental health assessments and dental care; employed full-time; gingivitis noted.

1922-09-26

Kelley882

2002-04-24

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

79

SerumGlucose 101.2 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 139.4 mmol/L, SerumK 3.8 mmol/L, SerumChloride 108.6 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 30.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Full-time employed, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Dental referral

166.3

1

77.3

null

75

94

96

15

null

Never smoked tobacco (finding) nan

28

null

209.2

47.6

null

4

101.2

17.3

2.8

9

139.4

3.8

108.6

25.5

null

101.2

17.3

2

9

139.4

3.8

108.6

25.5

30.1

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

13.7

Urine ketone test = ++ (finding) {nominal}

1

5.8

354.6

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

228.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

735

741

Routine medication reconciliation performed.

1922-09-26

Kelley882

2002-05-01

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

1,051.18

840.94

null

79

SerumGlucose 100.2 mg/dL, SerumBUN 15.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.0 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.0 mmol/L, MDRDGFR 40.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

100.2

15

1.9

8.7

139

5.2

101.4

22

40.3

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}

0.4

Finding of bilirubin in urine (finding) {nominal}

17

Urine ketone test = ++ (finding) {nominal}

1

6.8

234.8

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

736

742

Routine dental care performed.

1922-09-26

Kelley882

2002-05-08

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

79

null

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed

null

737

743

Brain MRI evaluated for staging of NSCLC - Stage 1 confirmed.

1922-09-26

Kelley882

2002-05-15

13

outpatient

185,347,001

Encounter for problem (procedure)

85.55

9,652.49

7,721.99

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

79

null

NSCLC stage 1

null

Brain vol MRI

null

738

744

Patient receiving multiple cycles of chemoradiation with Cisplatin and Paclitaxel for NSCLC.

1922-09-26

Kelley882

2002-05-15

2002-05-25

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

80,076.65

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

79

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclit...

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

739

746

Urgent care evaluation noted gingivitis and social needs; patient currently not in workforce.

1922-09-26

Kelley882

2002-06-05

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

null

79

SerumGlucose 114.6 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 137.3 mmol/L, SerumK 4.3 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 41.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Not in workforce, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Morse fall assess, Dental referral

166.3

1

77.3

null

73

95

96

13

null

Never smoked tobacco (finding) nan

28

null

227.9

48.6

null

4

114.6

17.3

2.5

9.7

137.3

4.3

110

26.4

null

114.6

17.3

2

9.7

137.3

4.3

110

26.4

41.4

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}

1.3

Finding of bilirubin in urine (finding) {nominal}

12.9

Urine ketone test = ++ (finding) {nominal}

1

6.6

310.1

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

114

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

740

748

Patient employed full-time; environmental violence exposure noted; comprehensive assessments completed.

1922-09-26

Kelley882

2002-06-19

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

null

79

SerumGlucose 103.8 mg/dL, SerumBUN 14.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 142.1 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.3 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 37.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Full-time employed, Enviro violence

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Substance use assess, Drug abuse screen, Dental referral

166.3

4

77.3

null

72

104

99

15

null

Never smoked tobacco (finding) nan

28

null

210.4

50

null

4

103.8

14.9

2.3

9.4

142.1

5.1

107.3

24.5

null

103.8

14.9

2

9.4

142.1

5.1

107.3

24.5

37.6

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

8.8

Urine ketone test = ++ (finding) {nominal}

1

7

235.2

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

30.7

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

741

749

Standard urgent care medication management.

1922-09-26

Kelley882

2002-06-26

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

291.74

null

79

SerumGlucose 111.1 mg/dL, SerumBUN 14.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 142.8 mmol/L, SerumK 4.0 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 52.1 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

4

null

111.1

14.9

2

9.8

142.8

4

108.8

25.5

52.1

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

Finding of bilirubin in urine (finding) {nominal}

9.1

Urine ketone test = ++ (finding) {nominal}

1

6

355.3

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

742

750

Urgent care with multiple mental health assessments and dental referral.

1922-09-26

Kelley882

2002-07-03

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

null

79

SerumGlucose 100.4 mg/dL, SerumBUN 19.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 140.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 30.8 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, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral

166.3

3

77.3

null

77

96

99

12

null

Never smoked tobacco (finding) nan

28

null

220

52.5

null

4

100.4

19

2.8

9

140.6

4.4

105.4

28.1

null

100.4

19

2

9

140.6

4.4

105.4

28.1

30.8

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}

1

Finding of bilirubin in urine (finding) {nominal}

16.2

Urine ketone test = ++ (finding) {nominal}

1

6.5

302.8

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

176.7

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

743

751

Dental care and fluoride applied during routine check-up.

1922-09-26

Kelley882

2002-07-10

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

66,383,009

Gingivitis (disorder)

79

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed

null

744

752

Ongoing chemoradiation therapy for NSCLC.

1922-09-26

Kelley882

2002-07-17

2002-07-22

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

47,129.42

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

79

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

745

754

Medication reconciliation and multiple screenings performed.

1922-09-26

Kelley882

2002-07-31

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,088

null

79

SerumGlucose 124.5 mg/dL, SerumBUN 14.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 45.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen

166.3

1

77.3

null

74

97

86

15

null

Never smoked tobacco (finding) nan

28

null

213

57.1

null

4

124.5

14

4.3

9.1

138

4.1

108

23.3

null

124.5

14

2

9.1

138

4.1

108

23.3

45.8

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}

0.7

Finding of bilirubin in urine (finding) {nominal}

15.7

Urine ketone test = ++ (finding) {nominal}

1

5.4

313.3

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

174.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

746

755

Medication review noted during routine check-up.

1922-09-26

Kelley882

2002-08-07

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

null

79

SerumGlucose 109.9 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 138.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 106.2 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 36.9 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

4

null

109.9

9

2

9.4

138.1

3.9

106.2

25.6

36.9

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2

Urine glucose test = ++ (finding) {nominal}

1.4

Finding of bilirubin in urine (finding) {nominal}

5.6

Urine ketone test = ++ (finding) {nominal}

1

6.5

321.1

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

747

756

Continued chemotherapy for NSCLC.

1922-09-26

Kelley882

2002-08-20

2002-08-25

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

42,666.9

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

79

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

748

757

Urgent care addressing medication review, mental health, substance use, and dental health; patient stressed.

1922-09-26

Kelley882

2002-09-04

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,222.19

null

79

SerumGlucose 106.8 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 28.6 mmol/L, MDRDGFR 41.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Stress

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

0

77.3

null

78

96

75

13

null

Never smoked tobacco (finding) nan

28

null

215.8

54.4

null

4

106.8

17.5

3.7

9.4

139.6

4.4

104.6

28.6

null

106.8

17.5

2

9.4

139.6

4.4

104.6

28.6

41.3

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2.2

Urine glucose test = ++ (finding) {nominal}

1.5

Finding of bilirubin in urine (finding) {nominal}

15.5

Urine ketone test = ++ (finding) {nominal}

1

6.6

341.1

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

230.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

749

758

Routine dental care with fluoride treatment provided.

1922-09-26

Kelley882

2002-09-18

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

103,697,008

Patient referral for dental care (procedure)

79

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed

null

750

759

Urgent care visit with mental health and medication reconciliation.

1922-09-26

Kelley882

2002-10-02

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,340.72

987.68

null

80

SerumGlucose 123.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.3 mmol/L, SerumChloride 101.6 mmol/L, TotalCO2Serum 25.2 mmol/L, MDRDGFR 45.8 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)

Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen

166.3

2

77.3

null

75

96

77

13

null

Never smoked tobacco (finding) nan

28

null

214

52.5

null

4

123.7

12.7

2.7

8.7

138.7

4.3

101.6

25.2

null

123.7

12.7

1.9

8.7

138.7

4.3

101.6

25.2

45.8

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

3.6

Urine ketone test = ++ (finding) {nominal}

1

6.5

274.2

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

74.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

751

761

Medication review during check-up; insulin therapy ongoing.

1922-09-26

Kelley882

2002-10-09

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

187.76

null

80

SerumGlucose 110.9 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 140.0 mmol/L, SerumK 4.9 mmol/L, SerumChloride 108.1 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 53.4 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

4

null

110.9

10.1

2.1

8.8

140

4.9

108.1

20.3

53.4

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}

1.4

Finding of bilirubin in urine (finding) {nominal}

1.3

Urine ketone test = ++ (finding) {nominal}

1

6.6

224.5

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

752

762

Chemoradiation continued for NSCLC.

1922-09-26

Kelley882

2002-10-16

2002-10-20

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

41,611.8

33,289.43

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

80

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad

null

753

765

Patient experienced stress and limited social contacts; gingivitis noted and managed.

1922-09-26

Kelley882

2002-10-30

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,088

870.38

null

80

SerumGlucose 105.0 mg/dL, SerumBUN 12.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.8 mmol/L, SerumK 4.3 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 21.2 mmol/L, MDRDGFR 49.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Limited social contact, Stress, Gingivitis

70/30 insulin 100u/ml susp (Humulin)

Med rec, 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

77

104

79

14

null

Never smoked tobacco (finding) nan

28

null

231.5

43.8

null

4

105

12.9

2.9

9.1

140.8

4.3

105.3

21.2

null

105

12.9

2

9.1

140.8

4.3

105.3

21.2

49

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}

0.4

Finding of bilirubin in urine (finding) {nominal}

18.8

Urine ketone test = ++ (finding) {nominal}

1

5.4

238.5

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

224.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

754

767

Routine medication review performed.

1922-09-26

Kelley882

2002-11-06

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

1,097.51

878

null

80

SerumGlucose 121.8 mg/dL, SerumBUN 8.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 136.2 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.0 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 47.5 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)

Med rec

null

4

null

121.8

8.1

2

9.3

136.2

5.1

104

25.5

47.5

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}

1.3

Finding of bilirubin in urine (finding) {nominal}

16.9

Urine ketone test = ++ (finding) {nominal}

1

5.9

382.5

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

755

769

Patient socially isolated; mental health assessments performed.

1922-09-26

Kelley882

2002-11-13

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 101.7 mg/dL, SerumBUN 13.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 140.2 mmol/L, SerumK 4.7 mmol/L, SerumChloride 110.2 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 56.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {...

Med review due, Social isolation

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

2

77.3

null

74

100

69

14

null

Never smoked tobacco (finding) nan

28

null

217.5

44.5

null

4

101.7

13.4

2.9

10

140.2

4.7

110.2

24

null

101.7

13.4

2

10

140.2

4.7

110.2

24

56.3

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}

0.3

Finding of bilirubin in urine (finding) {nominal}

14.4

Urine ketone test = ++ (finding) {nominal}

1

5.8

394.9

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

170.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

756

773

ER admission with medication reconciliation and insulin therapy continued.

1922-09-26

Kelley882

2002-11-20

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

573.61

458.88

null

80

SerumGlucose 108.8 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 140.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 26.6 mmol/L, MDRDGFR 36.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

108.8

15.7

2.1

9.7

140.7

4.5

109.6

26.6

36.7

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

13.3

Urine ketone test = ++ (finding) {nominal}

1

5.3

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

757

774

ER admission with multiple assessments; patient part-time employed.

1922-09-26

Kelley882

2002-11-27

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

875.9

700.7

null

80

SerumGlucose 108.9 mg/dL, SerumBUN 8.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 137.7 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 26.5 mmol/L, MDRDGFR 30.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Med review due, Part-time employed

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Substance use assess, AUDIT-C assess, Dental referral

166.3

2

77.3

null

73

92

90

16

null

Never smoked tobacco (finding) nan

28

null

235.6

46.7

null

4

108.9

8.5

2.6

9.5

137.7

4.4

104.7

26.5

null

108.9

8.5

2

9.5

137.7

4.4

104.7

26.5

30.8

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}

15.6

Urine ketone test = ++ (finding) {nominal}

1

5.2

212.3

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

277.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

758

775

Routine urgent care encounter with insulin therapy.

1922-09-26

Kelley882

2002-12-04

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

291.74

233.38

null

80

SerumGlucose 110.0 mg/dL, SerumBUN 14.8 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 143.5 mmol/L, SerumK 4.9 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.9 mmol/L, MDRDGFR 50.1 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

4

null

110

14.8

1.9

9

143.5

4.9

105.8

28.9

50.1

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2.5

Urine glucose test = ++ (finding) {nominal}

0.4

Finding of bilirubin in urine (finding) {nominal}

13.5

Urine ketone test = ++ (finding) {nominal}

1

5.9

387.3

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

759

776

Patient socially isolated, not working; environmental violence exposure noted.

1922-09-26

Kelley882

2002-12-11

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 113.3 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 34.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {...

Not in workforce, Social isolation, Enviro violence

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

4

77.3

null

74

101

80

14

null

Never smoked tobacco (finding) nan

28

null

220.1

46.3

null

4

113.3

18.9

3.6

10

137.9

4.8

106.3

25.6

null

113.3

18.9

2.1

10

137.9

4.8

106.3

25.6

34.1

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2

Urine glucose test = ++ (finding) {nominal}

0.9

Finding of bilirubin in urine (finding) {nominal}

0.3

Urine ketone test = ++ (finding) {nominal}

1

5.3

223.7

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

202.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

760

779

Medication review completed during check up.

1922-09-26

Kelley882

2002-12-18

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

512.74

410.18

null

80

SerumGlucose 110.0 mg/dL, SerumBUN 10.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 140.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 35.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

110

10.9

2.1

8.9

140.6

3.9

104.1

26.2

35.5

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

16

Urine ketone test = ++ (finding) {nominal}

1

5.6

280.1

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

761

780

ER admission with mental health and social assessments; patient employed full-time; intimate partner violence reported.

1922-09-26

Kelley882

2002-12-25

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

1,091.6

873.26

null

80

SerumGlucose 122.6 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 143.6 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 57.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Full-time employed, Stress, IPV

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

3

77.3

null

79

94

76

13

null

Never smoked tobacco (finding) nan

28

null

202.5

48.6

null

4

122.6

13.2

3.6

9.9

143.6

3.8

106.3

20.3

null

122.6

13.2

2.1

9.9

143.6

3.8

106.3

20.3

57.1

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}

0.6

Finding of bilirubin in urine (finding) {nominal}

13.4

Urine ketone test = ++ (finding) {nominal}

1

5.7

241.6

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

182.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

762

781

Medication review noted in urgent care setting.

1922-09-26

Kelley882

2003-01-01

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

291.74

233.38

null

80

SerumGlucose 114.6 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 34.9 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

4

null

114.6

10.2

2

8.9

138.1

4.3

101.1

27.3

34.9

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}

0.5

Finding of bilirubin in urine (finding) {nominal}

13

Urine ketone test = ++ (finding) {nominal}

1

6.3

387.2

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

763

782

Comprehensive urgent care assessments performed.

1922-09-26

Kelley882

2003-01-08

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 105.5 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 139.3 mmol/L, SerumK 3.7 mmol/L, SerumChloride 101.0 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 48.5 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, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess

166.3

0

77.3

null

73

106

78

16

null

Never smoked tobacco (finding) nan

28

null

226.4

51

null

4

105.5

17.5

2.6

9.8

139.3

3.7

101

20.3

null

105.5

17.5

2.1

9.8

139.3

3.7

101

20.3

48.5

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}

0.3

Finding of bilirubin in urine (finding) {nominal}

10.2

Urine ketone test = ++ (finding) {nominal}

1

5.2

357.9

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

200

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

764

785

Medication management ongoing during routine visit.

1922-09-26

Kelley882

2003-01-15

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

187.76

null

80

SerumGlucose 107.7 mg/dL, SerumBUN 14.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 53.2 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

4

null

107.7

14.7

1.9

9.4

136.6

3.9

101.7

28.1

53.2

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}

1.4

Finding of bilirubin in urine (finding) {nominal}

7.4

Urine ketone test = ++ (finding) {nominal}

1

6.8

382.1

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

765

787

ER admission including comprehensive mental health and dental assessments.

1922-09-26

Kelley882

2003-01-22

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

1,701.18

1,360.92

null

80

SerumGlucose 106.8 mg/dL, SerumBUN 18.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 137.8 mmol/L, SerumK 3.8 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 28.2 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)

Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

3

77.3

null

76

95

62

13

null

Never smoked tobacco (finding) nan

28

null

233.8

56

null

4

106.8

18.3

3.7

9.2

137.8

3.8

107

28.2

null

106.8

18.3

1.9

9.2

137.8

3.8

107

28.2

36.8

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.6

Urine glucose test = ++ (finding) {nominal}

1.4

Finding of bilirubin in urine (finding) {nominal}

12.3

Urine ketone test = ++ (finding) {nominal}

1

5.3

392.2

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

274.4

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

766

789

Urgent care medication review performed.

1922-09-26

Kelley882

2003-01-29

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

507.44

405.94

null

80

SerumGlucose 100.5 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 136.8 mmol/L, SerumK 4.5 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 51.7 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

null

4

null

100.5

18.4

2

10.2

136.8

4.5

107.2

24

51.7

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

15.4

Urine ketone test = ++ (finding) {nominal}

1

6.6

260.1

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

767

790

Multiple assessments and medication review during urgent care encounter.

1922-09-26

Kelley882

2003-02-05

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,088

870.38

null

80

SerumGlucose 122.9 mg/dL, SerumBUN 14.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 138.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 25.8 mmol/L, MDRDGFR 35.5 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)

Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

3

77.3

null

75

100

66

14

null

Never smoked tobacco (finding) nan

28

null

225.7

50

null

4

122.9

14

2.3

9.5

138.6

4.3

106.8

25.8

null

122.9

14

1.9

9.5

138.6

4.3

106.8

25.8

35.5

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

12.8

Urine ketone test = ++ (finding) {nominal}

1

6.5

262.6

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

82.6

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

768

791

Routine medication review noted.

1922-09-26

Kelley882

2003-02-12

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

187.76

null

80

SerumGlucose 100.0 mg/dL, SerumBUN 8.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 139.1 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 27.7 mmol/L, MDRDGFR 57.4 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

4

null

100

8.2

1.9

9.2

139.1

3.8

106.8

27.7

57.4

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.6

Urine glucose test = ++ (finding) {nominal}

0.4

Finding of bilirubin in urine (finding) {nominal}

3.7

Urine ketone test = ++ (finding) {nominal}

1

5.1

252.6

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

769

792

Patient stressed and socially isolated; not working; ER admission with extensive assessments.

1922-09-26

Kelley882

2003-02-19

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

875.9

700.7

null

80

SerumGlucose 103.6 mg/dL, SerumBUN 9.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.7 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 36.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Not in workforce, Stress

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral

166.3

3

77.3

null

74

92

61

15

null

Never smoked tobacco (finding) nan

28

null

206.7

43.5

null

4

103.6

9.5

3.1

9.7

139.7

4.7

109.9

24

null

103.6

9.5

2

9.7

139.7

4.7

109.9

24

36.8

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}

1.4

Finding of bilirubin in urine (finding) {nominal}

1.7

Urine ketone test = ++ (finding) {nominal}

1

6.9

243.3

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

92.6

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

770

793

Medication reconciliation performed in urgent care.

1922-09-26

Kelley882

2003-02-26

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

921.71

737.36

null

80

SerumGlucose 113.8 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 140.9 mmol/L, SerumK 4.4 mmol/L, SerumChloride 103.8 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 48.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

113.8

10.2

2

10

140.9

4.4

103.8

24.3

48.3

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}

1.3

Finding of bilirubin in urine (finding) {nominal}

12.8

Urine ketone test = ++ (finding) {nominal}

1

6.9

339.2

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

771

794

Patient employed full-time; medication and psychosocial assessments performed.

1922-09-26

Kelley882

2003-03-05

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,345.26

1,076.19

null

80

SerumGlucose 110.5 mg/dL, SerumBUN 8.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 27.0 mmol/L, MDRDGFR 49.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Med review due, Full-time employed

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

1

77.3

null

75

93

70

15

null

Never smoked tobacco (finding) nan

28

null

201.2

58.6

null

4

110.5

8.9

2.2

8.7

143.2

4.6

105.4

27

null

110.5

8.9

2.1

8.7

143.2

4.6

105.4

27

49.8

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

19.9

Urine ketone test = ++ (finding) {nominal}

1

5.3

283.7

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

98.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

772

795

Routine dental exams and care.

1922-09-26

Kelley882

2003-03-12

13

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)

80

null

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed

null

773

796

Presentation with viral sinusitis; managed symptomatically.

1922-09-26

Kelley882

2003-03-19

13

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

68.44

444,814,009

Viral sinusitis (disorder)

80

null

Viral sinusitis

null

774

797

Ongoing chemoradiation therapy continued.

1922-09-26

Kelley882

2003-03-19

2003-03-23

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

48,644.39

38,915.51

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

80

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad

null

775

798

Comprehensive exam and assessments performed with ongoing insulin therapy.

1922-09-26

Kelley882

2003-04-02

13

wellness

162,673,000

General examination of patient (procedure)

136.8

1,218.22

974.56

null

80

SerumGlucose 110.5 mg/dL, SerumBUN 16.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.5 mmol/L, SerumK 4.6 mmol/L, SerumChloride 106.1 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 40.4 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)

Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess

166.3

3

77.3

null

79

98

76

14

null

Never smoked tobacco (finding) nan

28

null

233.4

48.2

null

4

110.5

16

2.3

9.1

138.5

4.6

106.1

24.5

null

110.5

16

2

9.1

138.5

4.6

106.1

24.5

40.4

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}

13.2

Urine ketone test = ++ (finding) {nominal}

1

6.2

318.4

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

152.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

776

799

Medication review noted during ER admission.

1922-09-26

Kelley882

2003-04-09

13

emergency

50,849,002

Emergency room admission (procedure)

146.18

295.34

236.26

null

80

SerumGlucose 113.0 mg/dL, SerumBUN 17.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 139.5 mmol/L, SerumK 4.6 mmol/L, SerumChloride 108.9 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 37.8 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

4

null

113

17.2

2.1

8.9

139.5

4.6

108.9

20.6

37.8

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2

Urine glucose test = ++ (finding) {nominal}

0.8

Finding of bilirubin in urine (finding) {nominal}

1.4

Urine ketone test = ++ (finding) {nominal}

1

5.2

286.8

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

777

800

Mental health and medication review in urgent care.

1922-09-26

Kelley882

2003-04-16

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,735.1

1,388.06

null

80

SerumGlucose 101.0 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 138.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 25.7 mmol/L, MDRDGFR 41.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen

166.3

2

77.3

null

82

102

75

13

null

Never smoked tobacco (finding) nan

28

null

210.2

40.8

null

4

101

12.3

3.3

9.7

138.9

4.8

109.9

25.7

null

101

12.3

1.9

9.7

138.9

4.8

109.9

25.7

41.6

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2

Urine glucose test = ++ (finding) {nominal}

0.3

Finding of bilirubin in urine (finding) {nominal}

12.2

Urine ketone test = ++ (finding) {nominal}

1

5.3

209.7

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

245.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

778

801

Medication reconciliation done.

1922-09-26

Kelley882

2003-04-23

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

604.08

483.25

null

80

SerumGlucose 123.2 mg/dL, SerumBUN 11.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 137.6 mmol/L, SerumK 4.1 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 41.2 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)

Med rec

null

4

null

123.2

11.2

2

9.1

137.6

4.1

104.7

24.5

41.2

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

17.5

Urine ketone test = ++ (finding) {nominal}

1

6.8

273.2

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

779

802

Patient stressed; medication review performed.

1922-09-26

Kelley882

2003-04-30

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

80

SerumGlucose 107.9 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 141.8 mmol/L, SerumK 4.7 mmol/L, SerumChloride 109.1 mmol/L, TotalCO2Serum 20.9 mmol/L, MDRDGFR 40.1 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)

Health/social needs assess, Morse fall assess, Depression screen, Depression screen

166.3

1

77.3

null

76

97

67

15

null

Never smoked tobacco (finding) nan

28

null

209.3

51.3

null

4

107.9

17.5

4.2

9.6

141.8

4.7

109.1

20.9

null

107.9

17.5

2

9.6

141.8

4.7

109.1

20.9

40.1

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}

0.9

Finding of bilirubin in urine (finding) {nominal}

11.9

Urine ketone test = ++ (finding) {nominal}

1

6.3

230.5

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

137.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

780

803

Chemoradiation ongoing.

1922-09-26

Kelley882

2003-05-07

2003-05-10

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

46,177.56

36,942.04

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

80

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad

null

781

804

Urgent care addressing mental health and dental issues; gingivitis noted.

1922-09-26

Kelley882

2003-05-21

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 114.6 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 136.8 mmol/L, SerumK 3.7 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 37.3 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, Anxiety assess, Morse fall assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral

166.3

3

77.3

null

76

101

89

15

null

Never smoked tobacco (finding) nan

28

null

218.2

52.1

null

4

114.6

16.9

3.9

9.8

136.8

3.7

109.5

27.9

null

114.6

16.9

2.1

9.8

136.8

3.7

109.5

27.9

37.3

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}

0.7

Finding of bilirubin in urine (finding) {nominal}

19.2

Urine ketone test = ++ (finding) {nominal}

1

6

320.3

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

72.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

782

811

Fluoride treatment and dental care provided.

1922-09-26

Kelley882

2003-06-04

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

80

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed

null

783

812

Dental referral for gingivitis during urgent care mental health assessment.

1922-09-26

Kelley882

2003-06-18

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 120.4 mg/dL, SerumBUN 11.0 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 142.3 mmol/L, SerumK 4.4 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 25.2 mmol/L, MDRDGFR 37.6 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, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral

166.3

0

77.3

null

74

100

66

15

null

Never smoked tobacco (finding) nan

28

null

233.7

50

null

4

120.4

11

2.2

8.8

142.3

4.4

101.1

25.2

null

120.4

11

2.1

8.8

142.3

4.4

101.1

25.2

37.6

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}

1.3

Finding of bilirubin in urine (finding) {nominal}

15.8

Urine ketone test = ++ (finding) {nominal}

1

5.8

273.9

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

255.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

784

813

Active chemotherapy for NSCLC.

1922-09-26

Kelley882

2003-06-25

2003-06-29

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

42,004.04

33,603.23

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

80

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad

null

785

814

Cardiac assessment performed including ECG and stress test; NYHA class evaluated for chronic congestive heart failure.

1922-09-26

Kelley882

2003-07-09

13

ambulatory

185,347,001

Encounter for problem (procedure)

85.55

1,901.81

1,521.42

88,805,009

Chronic congestive heart failure (disorder)

80

Symptom Dyspnea on exertion (finding) nan, Symptom Dyspnea (finding) nan, Symptom Paroxysmal dyspnea (finding) nan, Symptom Orthopnea (finding) nan, Symptom Edema (finding) nan, Symptom Rales (finding) nan, Weight 77.3 kg, NTproBNP 939.8 pg/mL, AutoWBCCount 7.9 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 13.3 g/dL, Aut...

Chronic CHF

null

ECG, CV stress test, NYHA class assess

null

77.3

null

7.9

4.6

13.3

40.7

86

29.5

35.2

null

438

null

237

47.7

null

4

null

113.9

15.1

3.1

9.6

138.5

5.1

103

26.9

20.6

null

Dyspnea on exertion (finding) nan

939.8

14.2

7.3

4.9

0.4

107.1

15.5

18.8

2

0

82.7

109.7

313.1

35.3

Class II nan

Objective evidence of moderately severe cardiovascular disease nan

null

kg

null

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

null

10*3/uL

null

mg/dL

null

%

null

mg/dL

mmol/L

mL/min

null

pg/mL

%

g/dL

mg/dL

U/L

mg/dL

pg/mL

ug/L

ug/dL

%

null

786

815

Dental care including fluoride therapy.

1922-09-26

Kelley882

2003-07-16

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

80

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed

null

787

816

Urgent care evaluations, patient working part-time with limited social contact.

1922-09-26

Kelley882

2003-07-30

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 104.6 mg/dL, SerumBUN 9.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 41.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {no...

Part-time employed, Limited social contact

70/30 insulin 100u/ml susp (Humulin)

Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess

166.3

2

77.3

null

75

98

63

14

null

Never smoked tobacco (finding) nan

28

null

231.3

45.6

null

4

104.6

9.9

2.4

8.6

142.1

3.9

107.6

27.2

null

104.6

9.9

2

8.6

142.1

3.9

107.6

27.2

41.2

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}

1.1

Finding of bilirubin in urine (finding) {nominal}

14.7

Urine ketone test = ++ (finding) {nominal}

1

5.8

391.9

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

127.2

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

788

817

Medication reconciliation completed.

1922-09-26

Kelley882

2003-08-06

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

450.41

360.32

null

80

SerumGlucose 109.6 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.8 mmol/L, SerumK 4.9 mmol/L, SerumChloride 102.5 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 41.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin)

Med rec

null

4

null

109.6

15.7

1.9

9.4

136.8

4.9

102.5

22.7

41.5

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}

0.4

Finding of bilirubin in urine (finding) {nominal}

17.6

Urine ketone test = ++ (finding) {nominal}

1

6.4

309.8

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

789

818

Echocardiogram performed; medications adjusted for cardiac function.

1922-09-26

Kelley882

2003-08-13

13

ambulatory

185,347,001

Encounter for problem (procedure)

85.55

795.53

636.42

88,805,009

Chronic congestive heart failure (disorder)

80

LVEF 49.0 %, BloodGlucose 109.3 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 3.8 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 141.2 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.0 mmol/L, TotalCO2Blood 23.2 mmol/L

null

Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab

Echo, Med rec

null

109.3

16.7

3.8

9.3

141.2

3.9

107

23.2

null

49

null

mg/dL

mmol/L

null

%

null

790

819

Continuation of multiple rounds of chemoradiation therapy.

1922-09-26

Kelley882

2003-08-13

2003-08-21

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

106,228.03

84,982.41

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

80

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclit...

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

791

820

Urgent care visit with medication management; patient stressed and exposed to environmental violence; working full-time.

1922-09-26

Kelley882

2003-09-03

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 111.3 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.1 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 25.4 mmol/L, MDRDGFR 53.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Full-time employed, Stress, Enviro violence

70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

3

77.3

null

52

73

74

15

null

Never smoked tobacco (finding) nan

28

null

217

44.9

null

4

111.3

17.5

2.6

9

139.6

4.1

101.8

25.4

null

111.3

17.5

2.1

9

139.6

4.1

101.8

25.4

53

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}

1.2

Finding of bilirubin in urine (finding) {nominal}

4.1

Urine ketone test = ++ (finding) {nominal}

1

6.6

299.7

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

72.2

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

792

821

Patient not working; gingivitis diagnosed and dental referral made.

1922-09-26

Kelley882

2003-09-17

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

872.3

697.82

null

80

SerumGlucose 102.2 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.5 mmol/L, SerumK 3.9 mmol/L, SerumChloride 103.4 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 34.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Not in workforce, Gingivitis

70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral

166.3

3

77.3

null

58

71

78

15

null

Never smoked tobacco (finding) nan

28

null

231

50

null

4

102.2

13.2

2.4

9

141.5

3.9

103.4

21.1

null

102.2

13.2

1.9

9

141.5

3.9

103.4

21.1

34.6

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.8

Urine glucose test = ++ (finding) {nominal}

1

Finding of bilirubin in urine (finding) {nominal}

19.1

Urine ketone test = ++ (finding) {nominal}

1

5.9

379.9

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

288.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

793

822

Medication reconciliation performed during check-up.

1922-09-26

Kelley882

2003-09-24

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

697.39

557.9

null

80

SerumGlucose 118.3 mg/dL, SerumBUN 19.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 33.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

Med rec

null

4

null

118.3

19.2

2

9.5

143

4.2

107.9

24.5

33.6

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}

1.2

Finding of bilirubin in urine (finding) {nominal}

15.7

Urine ketone test = ++ (finding) {nominal}

1

5.1

375

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

794

823

Dental care and fluoride treatment performed.

1922-09-26

Kelley882

2003-10-01

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,746.95

66,383,009

Gingivitis (disorder)

81

null

NaF 2.72% oral gel

Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed

null

795

824

Ongoing chemotherapy for NSCLC.

1922-09-26

Kelley882

2003-10-08

2003-10-13

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

68,621.01

54,896.82

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

81

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

796

825

Urgent care visit including mental health assessments; patient socially isolated but employed full-time.

1922-09-26

Kelley882

2003-10-22

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

1,224

979.18

null

81

SerumGlucose 101.2 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 138.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 25.0 mmol/L, MDRDGFR 39.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

Med review due, Full-time employed, Social isolation

70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, PHQ-9 screen

166.3

1

77.3

null

50

67

85

16

null

Never smoked tobacco (finding) nan

28

null

222.4

57.1

null

4

101.2

10.2

3.2

9.7

138.1

3.9

107

25

null

101.2

10.2

1.9

9.7

138.1

3.9

107

25

39.3

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}

1.2

Finding of bilirubin in urine (finding) {nominal}

13.2

Urine ketone test = ++ (finding) {nominal}

1

7

390.7

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

79.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null

797

826

Medication therapy continued with insulin and cardiac medications.

1922-09-26

Kelley882

2003-10-29

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

234.71

187.76

null

81

SerumGlucose 105.9 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 136.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 22.0 mmol/L, MDRDGFR 32.3 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), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

null

4

null

105.9

18.4

2

9.9

136

4.1

102.3

22

32.3

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}

0.8

Finding of bilirubin in urine (finding) {nominal}

14.4

Urine ketone test = ++ (finding) {nominal}

1

6.1

356

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

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

798

827

Chemoradiation for NSCLC continued.

1922-09-26

Kelley882

2003-11-11

2003-11-19

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

81,946.99

65,557.59

424,132,000

Non-small cell carcinoma of lung TNM stage 1 (disorder)

81

null

Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

799

828

Multiple mental health and substance use screens conducted.

1922-09-26

Kelley882

2003-11-26

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

81

SerumGlucose 119.2 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 141.2 mmol/L, SerumK 5.0 mmol/L, SerumChloride 106.6 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 48.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {n...

null

70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab

Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen

166.3

4

77.3

null

61

77

82

15

null

Never smoked tobacco (finding) nan

28

null

200.4

47.2

null

4

119.2

15.7

3.2

9.2

141.2

5

106.6

25.9

null

119.2

15.7

2.1

9.2

141.2

5

106.6

25.9

48.2

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

1.9

Urine glucose test = ++ (finding) {nominal}

1.4

Finding of bilirubin in urine (finding) {nominal}

11

Urine ketone test = ++ (finding) {nominal}

1

6.9

394.2

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

143.1

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

%

mg/dL

mmol/L

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

mg/g

null