iscg34/finalproject · Datasets at Hugging Face

800

829

Dental referral made due to gingivitis during comprehensive mental health evaluation.

1922-09-26

Kelley882

2003-12-10

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

1,030.97

824.76

null

81

SerumGlucose 106.7 mg/dL, SerumBUN 11.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 138.2 mmol/L, SerumK 3.8 mmol/L, SerumChloride 110.1 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 34.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.0 pH, UrineProteinMass 310.2 mg/dL, UrineProteinPresence Urine protein test = ++ (finding) {nominal}, UrineNitrite Nitrite not detected in urine (finding) {nominal}, UrineHgb Blood not detected in urine (finding) {nominal}, LeukEsterase Urine leukocytes not detected (finding) {nominal}, HbA1c 4.0 %, Height 166.3 cm, PainScore 3.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 51.0 mm[Hg], SBP 77.0 mm[Hg], HR 75.0 /min, RR 15.0 /min, BloodGlucose 106.7 mg/dL, BloodBUN 11.5 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 138.2 mmol/L, BloodK 3.8 mmol/L, BloodChloride 110.1 mmol/L, TotalCO2Blood 20.3 mmol/L, TotalCholesterol 212.7 mg/dL, HDL 49.2 mg/dL, UACR 163.2 mg/g, MDRDGFR 23.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan

Gingivitis

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, Dental referral

166.3

3

77.3

null

51

77

75

15

null

Never smoked tobacco (finding) nan

28

null

212.7

49.2

null

4

106.7

11.5

2.7

10

138.2

3.8

110.1

20.3

null

106.7

11.5

2

10

138.2

3.8

110.1

20.3

34.6

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

0.9

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

1.4

Finding of bilirubin in urine (finding) {nominal}

14.7

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

1

5

310.2

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

163.2

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

801

830

Medication reconciliation and review performed.

1922-09-26

Kelley882

2003-12-17

13

urgentcare

702,927,004

Urgent care clinic (environment)

142.58

944.79

755.82

null

81

SerumGlucose 119.5 mg/dL, SerumBUN 8.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 144.0 mmol/L, SerumK 5.1 mmol/L, SerumChloride 103.3 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 48.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 237.9 mg/dL, UrineProteinPresence Urine protein test = ++ (finding) {nominal}, UrineNitrite Nitrite not detected in urine (finding) {nominal}, UrineHgb Blood not detected in urine (finding) {nominal}, LeukEsterase Urine leukocytes not detected (finding) {nominal}, HbA1c 4.0 %

Med review due

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

Med rec

null

4

null

119.5

8.7

1.9

10

144

5.1

103.3

27.4

48.5

Cloudy urine (finding) {nominal}

Urine smell ammoniacal (finding) {nominal}

Translucent (qualifier value) {nominal}

Brown color (qualifier value) {nominal}

2

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

0.8

Finding of bilirubin in urine (finding) {nominal}

12.4

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

1

6.7

237.9

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

Nitrite not detected in urine (finding) {nominal}

Blood not detected in urine (finding) {nominal}

Urine leukocytes not detected (finding) {nominal}

null

%

null

mg/dL

mmol/L

mL/min/{1.73_m2}

mg/dL

{nominal}

pH

mg/dL

null

802

831

Dental care with fluoride treatment administered.

1922-09-26

Kelley882

2003-12-24

13

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,484.28

66,383,009

Gingivitis (disorder)

81

null

NaF 2.72% oral gel

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

null

803

832

Continuing cancer treatment with chemotherapy.

1922-09-26

Kelley882

2003-12-31

2004-01-06

13

inpatient

185,347,001

Encounter for problem (procedure)

87.71

53,065.42

42,452.32

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

Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad

null

804

833

Comprehensive mental health and substance use assessments performed; medication review ongoing.

1922-09-26

Kelley882

2004-01-14

13

outpatient

185,349,003

Encounter for check up (procedure)

85.55

815.27

652.2

null

81

SerumGlucose 122.5 mg/dL, SerumBUN 19.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 141.7 mmol/L, SerumK 4.3 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 22.2 mmol/L, MDRDGFR 46.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 301.8 mg/dL, UrineProteinPresence Urine protein test = ++ (finding) {nominal}, UrineNitrite Nitrite not detected in urine (finding) {nominal}, UrineHgb Blood not detected in urine (finding) {nominal}, LeukEsterase Urine leukocytes not detected (finding) {nominal}, HbA1c 4.0 %, Height 166.3 cm, PainScore 3.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 53.0 mm[Hg], SBP 66.0 mm[Hg], HR 79.0 /min, RR 13.0 /min, BloodGlucose 122.5 mg/dL, BloodBUN 19.3 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 141.7 mmol/L, BloodK 4.3 mmol/L, BloodChloride 109.9 mmol/L, TotalCO2Blood 22.2 mmol/L, TotalCholesterol 231.9 mg/dL, HDL 52.2 mg/dL, UACR 70.1 mg/g, MDRDGFR 23.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan

Med review due

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, AUDIT-C assess

166.3

3

77.3

null

53

66

79

13

null

Never smoked tobacco (finding) nan

28

null

231.9

52.2

null

4

122.5

19.3

2.7

9.6

141.7

4.3

109.9

22.2

null

122.5

19.3

1.9

9.6

141.7

4.3

109.9

22.2

46.2

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}

1.2

Finding of bilirubin in urine (finding) {nominal}

14.7

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

1

5.9

301.8

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

70.1

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

805

834

Patient admitted with respiratory support including oxygen mask and prone positioning; chest X-ray performed.

1922-09-26

Kelley882

2004-02-09

13

emergency

185,347,001

Encounter for problem (procedure)

87.71

9,991.93

7,993.52

88,805,009

Chronic congestive heart failure (disorder)

81

SaO2 81.0 %, Weight 77.3 kg, NTproBNP 1811.0 pg/mL, AutoWBCCount 9.2 10*3/uL, AutoRBCCount 5.6 10*6/uL, BloodHgb 13.7 g/dL, AutoHct 38.6 %, AutoMCV 88.7 fL, MCH 30.9 pg, MCHC 34.8 g/dL, RDW 15.0 %, PlateletCount 402.3 10*3/uL, SerumGlucose 124.8 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.5 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 140.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 25.0 mL/min, SerumProtein 8.0 g/dL, AlbuminMass 4.6 g/dL, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 42.2 U/L, ALT 43.3 U/L, AST 27.7 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 223.9 mg/dL, HDL 45.4 mg/dL, HbA1c 4.0 %, hsTnI 0.0 pg/mL, Ferritin 93.4 ug/L, Iron 154.5 ug/dL, TIBC 333.7 ug/dL, IronSat 34.9 %

null

O2 mask, Prone position, CXR

null

77.3

null

9.2

5.6

13.7

38.6

88.7

30.9

34.8

null

402.3

null

223.9

45.4

null

4

null

124.8

13.2

2.5

8.6

140.2

4.9

106.3

24

25

null

81

null

1,811

15

8

4.6

1

42.2

43.3

27.7

2.2

0

93.4

154.5

333.7

34.9

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

%

null

pg/mL

%

g/dL

mg/dL

U/L

mg/dL

pg/mL

ug/L

ug/dL

%

null

806

835

ICU admission with medication reconciliation, cardiac monitoring, and respiratory support.

1922-09-26

Kelley882

2004-02-09

2004-02-10

13

inpatient

305,351,004

Admission to intensive care unit (procedure)

146.18

2,634.71

2,107.74

88,805,009

Chronic congestive heart failure (disorder)

81

SaO2 81.0 %, Weight 77.3 kg, NTproBNP 660.4 pg/mL, AutoWBCCount 10.0 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 11.2 g/dL, AutoHct 41.6 %, AutoMCV 93.8 fL, MCH 28.3 pg, MCHC 33.3 g/dL, RDW 14.3 %, PlateletCount 280.9 10*3/uL, SerumGlucose 124.8 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.5 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 140.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 25.0 mL/min, SerumProtein 6.4 g/dL, AlbuminMass 4.4 g/dL, TotalBilirubin 0.9 mg/dL, AlkPhosActivity 63.1 U/L, ALT 7.9 U/L, AST 7.4 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 223.9 mg/dL, HDL 45.4 mg/dL, HbA1c 4.0 %, hsTnI 0.0 pg/mL, Ferritin 73.8 ug/L, Iron 92.8 ug/dL, TIBC 385.8 ug/dL, IronSat 54.6 %

null

10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj

Med rec, ECG, O2 mask, Prone position

null

77.3

null

10

5.2

11.2

41.6

93.8

28.3

33.3

null

280.9

null

223.9

45.4

null

4

null

124.8

13.2

2.5

8.6

140.2

4.9

106.3

24

25

null

81

null

660.4

14.3

6.4

4.4

0.9

63.1

7.9

7.4

2

0

73.8

92.8

385.8

54.6

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

%

null

pg/mL

%

g/dL

mg/dL

U/L

mg/dL

pg/mL

ug/L

ug/dL

%

null

807

836

Patient deceased at age 81; death certification completed.

1922-09-26

Kelley882

2004-02-18

13

wellness

308,646,001

Death Certification

136.8

211.38

169.1

88,805,009

Chronic congestive heart failure (disorder)

81

DeathCause Chronic congestive heart failure (disorder) nan

null

Chronic congestive heart failure (disorder) nan

null

808

727

Well child visit performed at age 16 with screening for risk behaviors. Patient is generally healthy with no acute complaints.

1996-12-16

Darell496

2013-01-28

14

wellness

410,620,009

Well child visit (procedure)

136.8

1,149.32

0

null

16

null

Risk behaviors

null

809

729

Annual well child visit at age 17. Medication review due to ongoing evaluations.

1996-12-16

Darell496

2014-02-03

14

wellness

410,620,009

Well child visit (procedure)

136.8

704.2

0

null

17

null

Med review due

null

810

730

Patient presents at 18 with complaints of chronic pain and chronic lower back pain (LBP). No new medications prescribed at this time.

1996-12-16

Darell496

2015-01-21

14

outpatient

185,347,001

Encounter for problem (procedure)

85.55

0

82,423,001

Chronic pain (finding)

18

null

Chronic pain, Chronic LBP

null

811

732

General examination at age 18 reveals social challenges including social isolation and environmental violence. Patient is part-time employed and in higher education. Ibuprofen 400mg prescribed for pain management.

1996-12-16

Darell496

2015-02-09

14

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

18

null

Higher ed, Part-time employed, Social isolation, Stress, Enviro violence

Ibuprofen 400mg tab (Ibu)

null

812

735

Follow-up visit for ongoing pain symptoms; started on APAP 300mg/Hydrocodone 5mg for pain control.

1996-12-16

Darell496

2015-03-05

14

ambulatory

390,906,007

Follow-up encounter (procedure)

85.55

0

82,423,001

Chronic pain (finding)

18

null

APAP 300mg/Hydrocodone 5mg tab

null

813

737

Patient evaluated for sore throat; throat culture performed confirming strep throat. Treated with Penicillin VK 250mg.

1996-12-16

Darell496

2015-04-26

14

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

2,908.54

0

43,878,008

Streptococcal sore throat (disorder)

18

BodyTemp 37.8 Cel

Strep throat

PCN VK 250mg tab

Throat culture

null

37.8

null

Cel

null

814

745

Comprehensive screening performed at 19 including domestic abuse, depression, substance use, and dental health. Patient full-time employed with limited social contact and signs of unhealthy alcohol use and gingivitis. Ibuprofen 400mg continued.

1996-12-16

Darell496

2016-02-15

14

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

19

Height 181.2 cm, PainScore 2.0 {score}, Weight 105.3 kg, BMI 32.1 kg/m2, BMIPercentile 97.5 %, DBP 72.0 mm[Hg], SBP 119.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Full-time employed, Limited social contact, Unhealthy alcohol use, Gingivitis

Ibuprofen 400mg tab (Ibu)

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

181.2

2

105.3

null

72

119

87

13

null

Never smoked tobacco (finding) nan

32.1

97.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

%

null

815

747

Dental check-up included scaling, gingival exam, and fluoride application. NaF 2.72% oral gel prescribed for dental health maintenance.

1996-12-16

Darell496

2016-02-29

14

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

0

66,383,009

Gingivitis (disorder)

19

null

NaF 2.72% oral gel

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

null

816

753

At 20 years old, patient has obesity (BMI>30) and gingivitis. Continued screening for depression and dental referral initiated. Ibuprofen 400mg prescribed as needed.

1996-12-16

Darell496

2017-02-20

14

wellness

162,673,000

General examination of patient (procedure)

136.8

840.2

0

null

20

Height 181.4 cm, PainScore 1.0 {score}, Weight 107.6 kg, BMI 32.7 kg/m2, DBP 74.0 mm[Hg], SBP 119.0 mm[Hg], HR 62.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Obesity BMI>30, Part-time employed, Gingivitis

Ibuprofen 400mg tab (Ibu)

Health/social needs assess, Depression screen, Depression screen, Dental referral

181.4

1

107.6

null

74

119

62

13

null

Never smoked tobacco (finding) nan

32.7

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

817

760

Routine dental follow-up with bitewing imaging and preventive care. NaF 2.72% oral gel continued.

1996-12-16

Darell496

2017-03-06

14

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

0

66,383,009

Gingivitis (disorder)

20

null

NaF 2.72% oral gel

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

null

818

763

Patient presents with symptoms of viral sinusitis. Treated with Amoxicillin/Clavulanate 250/125mg.

1996-12-16

Darell496

2017-08-31

14

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

0

444,814,009

Viral sinusitis (disorder)

20

null

Viral sinusitis

Amox/Clav 250/125mg tab

null

819

764

General exam at age 21 includes mental health screening for anxiety and depression. Patient is full-time employed. Ibuprofen 400mg continued.

1996-12-16

Darell496

2018-02-26

14

wellness

162,673,000

General examination of patient (procedure)

136.8

1,186.78

0

null

21

Height 181.4 cm, PainScore 2.0 {score}, Weight 107.6 kg, BMI 32.7 kg/m2, DBP 77.0 mm[Hg], SBP 112.0 mm[Hg], HR 64.0 /min, RR 14.0 /min, AutoWBCCount 6.3 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 15.8 g/dL, AutoHct 42.8 %, AutoMCV 94.0 fL, MCH 28.8 pg, MCHC 34.4 g/dL, RDWv 44.7 fL, PlateletCount 217.2 10*3/uL, PDW 365.2 fL, MPV 11.9 fL, SmokingStatus Never smoked tobacco (finding) nan

Full-time employed

Ibuprofen 400mg tab (Ibu)

Health/social needs assess, Anxiety assess, Depression screen, Depression screen

181.4

2

107.6

null

77

112

64

14

6.3

4.5

15.8

42.8

94

28.8

34.4

44.7

217.2

365.2

11.9

Never smoked tobacco (finding) nan

32.7

null

cm

{score}

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

fL

10*3/uL

fL

kg/m2

null

820

766

Comprehensive assessment including mental health, substance use, and dental status reveals drug misuse and gingivitis. Patient prescribed Ibuprofen 400mg for symptomatic relief.

1996-12-16

Darell496

2019-03-04

14

wellness

162,673,000

General examination of patient (procedure)

136.8

840.2

0

null

22

Height 181.4 cm, PainScore 2.0 {score}, Weight 103.9 kg, BMI 31.6 kg/m2, DBP 76.0 mm[Hg], SBP 116.0 mm[Hg], HR 98.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Drug misuse, Gingivitis

Ibuprofen 400mg tab (Ibu)

Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen, Dental referral

181.4

2

103.9

null

76

116

98

14

null

Never smoked tobacco (finding) nan

31.6

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

821

768

Dental exam and cleaning with fluoride treatment and education given. NaF 2.72% oral gel prescribed.

1996-12-16

Darell496

2019-03-18

14

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

2,197.94

66,383,009

Gingivitis (disorder)

22

null

NaF 2.72% oral gel

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

null

822

770

Extensive health and social needs assessments performed; patient reports limited social contact. Ibuprofen 400mg continued.

1996-12-16

Darell496

2020-03-09

14

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

23

Height 181.4 cm, PainScore 4.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 74.0 mm[Hg], SBP 112.0 mm[Hg], HR 74.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Limited social contact

Ibuprofen 400mg tab (Ibu)

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

181.4

4

98.4

null

74

112

74

15

null

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

823

771

Patient presents with sore throat symptoms diagnosed as acute viral pharyngitis. No antibiotics prescribed.

1996-12-16

Darell496

2020-03-15

14

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

0

195,662,009

Acute viral pharyngitis (disorder)

23

BodyTemp 37.1 Cel

Acute viral pharyngitis

null

37.1

null

Cel

null

824

772

Routine dental check-up with comprehensive cleaning. NaF 2.72% oral gel provided.

1996-12-16

Darell496

2020-03-23

14

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,502.7

103,697,008

Patient referral for dental care (procedure)

23

null

NaF 2.72% oral gel

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

null

825

777

Emergency visit for ankle sprain at age 23. Treated with Ibuprofen 200mg for pain and inflammation.

1996-12-16

Darell496

2020-06-08

14

emergency

50,849,002

Emergency room admission (procedure)

146.18

116.94

384,709,000

Sprain (morphologic abnormality)

23

null

Sprain, Ankle sprain

Ibuprofen 200mg tab

null

826

778

Vaccination given at age 24 to induce active immunity.

1996-12-16

Darell496

2021-01-25

14

outpatient

33,879,002

Administration of vaccine to produce active immunity (procedure)

142.58

278.58

0

null

24

null

827

783

Second vaccination administered at age 24.

1996-12-16

Darell496

2021-02-15

14

outpatient

33,879,002

Administration of vaccine to produce active immunity (procedure)

142.58

278.58

0

null

24

null

828

784

General exam with medication reconciliation and mental health assessments show patient experiences stress. Ibuprofen 400mg prescribed as needed.

1996-12-16

Darell496

2021-03-15

14

wellness

162,673,000

General examination of patient (procedure)

136.8

919.9

0

null

24

Height 181.4 cm, PainScore 3.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 74.0 mm[Hg], SBP 112.0 mm[Hg], HR 78.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Stress

Ibuprofen 400mg tab (Ibu)

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

181.4

3

98.4

null

74

112

78

13

null

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

829

786

Patient evaluated for acute bronchitis with sputum exam. Treated with APAP 325mg and Ibuprofen 400mg for symptom relief.

1996-12-16

Darell496

2022-01-22

14

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

3,549.03

0

10,509,002

Acute bronchitis (disorder)

25

null

Acute bronchitis

APAP 325mg tab, Ibuprofen 400mg tab (Ibu)

Sputum exam

null

830

788

Check-up including multiple mental health screenings; patient noted to have limited social contact. Medication review indicated. Ibuprofen 400mg continued.

1996-12-16

Darell496

2022-01-31

14

outpatient

185,349,003

Encounter for check up (procedure)

85.55

652.95

0

null

25

Height 181.4 cm, PainScore 1.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 77.0 mm[Hg], SBP 118.0 mm[Hg], HR 76.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Med review due, Limited social contact

Ibuprofen 400mg tab (Ibu)

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

181.4

1

98.4

null

77

118

76

15

null

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

831

805

Health exam reveals gingivitis with depression screening and dental referral ongoing. Ibuprofen 400mg prescribed for symptomatic management.

1996-12-16

Darell496

2022-03-21

14

wellness

162,673,000

General examination of patient (procedure)

136.8

568.2

0

null

25

Height 181.4 cm, PainScore 1.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 75.0 mm[Hg], SBP 117.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Gingivitis

Ibuprofen 400mg tab (Ibu)

Health/social needs assess, Depression screen, Depression screen, Dental referral

181.4

1

98.4

null

75

117

86

14

null

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

832

806

Dental check-up with cleaning and oral health education provided. No medications prescribed at this visit.

1996-12-16

Darell496

2022-04-04

14

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

2,673.95

1,115.84

66,383,009

Gingivitis (disorder)

25

null

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

null

833

807

General exam including depression screening at 26 reveals patient is part-time employed and experiencing stress. Ibuprofen 400mg used for symptom relief.

1996-12-16

Darell496

2023-03-27

14

wellness

162,673,000

General examination of patient (procedure)

136.8

778.78

0

null

26

Height 181.4 cm, PainScore 3.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 73.0 mm[Hg], SBP 110.0 mm[Hg], HR 97.0 /min, RR 14.0 /min, AutoWBCCount 8.1 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 48.4 %, AutoMCV 92.1 fL, MCH 31.7 pg, MCHC 33.1 g/dL, RDWv 45.2 fL, PlateletCount 186.4 10*3/uL, PDW 398.5 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan

Part-time employed, Stress

Ibuprofen 400mg tab (Ibu)

Health/social needs assess, Depression screen, Depression screen

181.4

3

98.4

null

73

110

97

14

8.1

5.2

13.4

48.4

92.1

31.7

33.1

45.2

186.4

398.5

11.1

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

fL

10*3/uL

fL

kg/m2

null

834

808

Emergency room visit for ankle sprain at age 26 treated with APAP 325mg for pain control.

1996-12-16

Darell496

2023-04-02

14

emergency

50,849,002

Emergency room admission (procedure)

146.18

0

384,709,000

Sprain (morphologic abnormality)

26

null

Sprain, Ankle sprain

APAP 325mg tab

null

835

809

Patient presents again with sore throat, diagnosed as acute viral pharyngitis. Throat culture performed, no antibiotics prescribed.

1996-12-16

Darell496

2024-03-09

14

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

3,536.75

0

195,662,009

Acute viral pharyngitis (disorder)

27

BodyTemp 37.5 Cel

Acute viral pharyngitis

null

Throat culture

null

37.5

null

Cel

null

836

810

General examination including medication reconciliation and substance use assessment. Patient is full-time employed. Ibuprofen 400mg continued.

1996-12-16

Darell496

2024-04-01

14

wellness

162,673,000

General examination of patient (procedure)

136.8

1,567

0

null

27

Height 181.4 cm, PainScore 3.0 {score}, Weight 98.4 kg, BMI 29.9 kg/m2, DBP 78.0 mm[Hg], SBP 119.0 mm[Hg], HR 61.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Full-time employed

Ibuprofen 400mg tab (Ibu)

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

181.4

3

98.4

null

78

119

61

14

null

Never smoked tobacco (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

837

Well child visit performed at age 16, focusing on screening for risk behaviors.

1975-09-07

Hwa978

1991-10-20

15

wellness

410,620,009

Well child visit (procedure)

136.8

778.78

0

null

16

null

Risk behaviors

null

838

Routine check-up at age 18. Patient reports HS education completed but currently unemployed.

1975-09-07

Hwa978

1993-10-03

15

outpatient

185,349,003

Encounter for check up (procedure)

85.55

652.95

0

null

18

null

HS education, Unemployed

null

839

General examination at age 22 reveals obesity with BMI>30; counseling on weight management advised.

1975-09-07

Hwa978

1997-11-09

15

wellness

162,673,000

General examination of patient (procedure)

136.8

1,050.78

0

null

22

null

Obesity BMI>30

null

840

Check-up at age 25 notes hypertension diagnosis; monitoring and lifestyle advice provided.

1975-09-07

Hwa978

2000-10-01

15

outpatient

185,349,003

Encounter for check up (procedure)

85.55

652.95

0

null

25

null

HTN

null

841

Encounter for problem at 31 with Vitamin B12 injection administered; further evaluation recommended.

1975-09-07

Hwa978

2007-04-01

15

ambulatory

185,347,001

Encounter for problem (procedure)

85.55

1,067.79

271,737,000

Anemia (disorder)

31

null

Vit B12 5mg/ml inj soln

null

842

Admission to surgical department at 35 due to history of tubal issues; care coordinated with surgery.

1975-09-07

Hwa978

2010-12-26

2010-12-27

15

inpatient

305,408,004

Admission to surgical department (procedure)

146.18

10,000.45

183,996,000

Sterilization requested (situation)

35

null

H/o tubal

null

843

General exam at 39 years; patient on Amlodipine 2.5mg for HTN. Medication review due. Patient reports limited social contact.

1975-09-07

Hwa978

2014-12-28

15

wellness

162,673,000

General examination of patient (procedure)

136.8

778.78

0

null

39

null

Med review due, Limited social contact

Amlodipine 2.5mg tab

null

844

Comprehensive mental health and social needs assessment performed at age 40; ongoing Amlodipine medication.

1975-09-07

Hwa978

2016-01-03

15

wellness

162,673,000

General examination of patient (procedure)

136.8

840.2

0

null

40

Height 161.2 cm, PainScore 1.0 {score}, Weight 80.1 kg, BMI 30.8 kg/m2, DBP 85.0 mm[Hg], SBP 132.0 mm[Hg], HR 85.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan

null

Amlodipine 2.5mg tab

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

161.2

1

80.1

null

85

132

85

12

null

Never smoked tobacco (finding) nan

30.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

845

Presented with acute bronchitis at 40, CXR conducted, treated with APAP/DM/Doxylamine solution.

1975-09-07

Hwa978

2016-02-05

15

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

3,368.75

2,348.62

10,509,002

Acute bronchitis (disorder)

40

null

Acute bronchitis

APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln

CXR

null

846

Follow-up visit at 40 included medication reconciliation, multiple mental health screens; patient reports stress.

1975-09-07

Hwa978

2016-02-14

15

outpatient

185,349,003

Encounter for check up (procedure)

85.55

868.37

694.7

null

40

Height 161.2 cm, PainScore 2.0 {score}, Weight 79.2 kg, BMI 30.5 kg/m2, DBP 83.0 mm[Hg], SBP 135.0 mm[Hg], HR 90.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Stress

Amlodipine 2.5mg tab

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

161.2

2

79.2

null

83

135

90

13

null

Never smoked tobacco (finding) nan

30.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

847

Exam at 41 with repeated mental health assessments; medication review pending.

1975-09-07

Hwa978

2017-01-08

15

wellness

162,673,000

General examination of patient (procedure)

136.8

976.2

0

null

41

Height 161.2 cm, PainScore 1.0 {score}, Weight 74.1 kg, BMI 28.5 kg/m2, DBP 80.0 mm[Hg], SBP 141.0 mm[Hg], HR 81.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Med review due

Amlodipine 2.5mg tab

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

161.2

1

74.1

null

80

141

81

13

null

Never smoked tobacco (finding) nan

28.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

848

At 42, severe anxiety noted during repeated mental health screening; patient continues Amlodipine.

1975-09-07

Hwa978

2018-01-14

15

wellness

162,673,000

General examination of patient (procedure)

136.8

778.78

0

null

42

Height 161.2 cm, PainScore 2.0 {score}, Weight 76.1 kg, BMI 29.3 kg/m2, DBP 84.0 mm[Hg], SBP 139.0 mm[Hg], HR 90.0 /min, RR 15.0 /min, TotalCholesterol 157.6 mg/dL, HDL 62.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan

Severe anxiety

Amlodipine 2.5mg tab

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

161.2

2

76.1

null

84

139

90

15

null

Never smoked tobacco (finding) nan

29.3

null

157.6

62.7

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

849

General exam at 43 includes medication reconciliation and mental health assessments.

1975-09-07

Hwa978

2019-01-20

15

wellness

162,673,000

General examination of patient (procedure)

136.8

1,384.17

0

null

43

Height 161.2 cm, PainScore 2.0 {score}, Weight 78.1 kg, BMI 30.1 kg/m2, DBP 84.0 mm[Hg], SBP 138.0 mm[Hg], HR 99.0 /min, RR 16.0 /min, AutoWBCCount 4.2 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 15.9 g/dL, AutoHct 39.1 %, AutoMCV 80.7 fL, MCH 31.9 pg, MCHC 34.7 g/dL, RDWv 41.3 fL, PlateletCount 240.1 10*3/uL, PDW 467.2 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan

null

Amlodipine 2.5mg tab

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

161.2

2

78.1

null

84

138

99

16

4.2

4.1

15.9

39.1

80.7

31.9

34.7

41.3

240.1

467.2

11.1

Never smoked tobacco (finding) nan

30.1

null

cm

{score}

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

fL

10*3/uL

fL

kg/m2

null

850

At 44, patient assessed for social and mental health needs plus dental health; gingivitis noted and dental referral made; medication review due.

1975-09-07

Hwa978

2020-01-26

15

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

44

Height 161.2 cm, PainScore 2.0 {score}, Weight 80.1 kg, BMI 30.8 kg/m2, DBP 87.0 mm[Hg], SBP 140.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Med review due, Gingivitis

Amlodipine 2.5mg tab

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

161.2

2

80.1

null

87

140

66

16

null

Never smoked tobacco (finding) nan

30.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

851

Dental check-up and treatment performed at 44, including scaling and fluoride application.

1975-09-07

Hwa978

2020-02-09

15

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,331.04

66,383,009

Gingivitis (disorder)

44

null

NaF 2.72% oral gel

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

null

852

At 44, patient presented with acute viral pharyngitis; throat culture performed for diagnosis.

1975-09-07

Hwa978

2020-04-10

15

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

1,302.98

1,042.38

195,662,009

Acute viral pharyngitis (disorder)

44

BodyTemp 37.9 Cel

Acute viral pharyngitis

null

Throat culture

null

37.9

null

Cel

null

853

General exam at 45 with mental health assessments; patient not in workforce and reports stress.

1975-09-07

Hwa978

2021-01-31

15

wellness

162,673,000

General examination of patient (procedure)

136.8

778.78

0

null

45

Height 161.2 cm, PainScore 2.0 {score}, Weight 80.1 kg, BMI 30.8 kg/m2, DBP 86.0 mm[Hg], SBP 135.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, TotalCholesterol 188.1 mg/dL, HDL 64.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan

Not in workforce, Stress

Amlodipine 2.5mg tab

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

161.2

2

80.1

null

86

135

96

15

null

Never smoked tobacco (finding) nan

30.8

null

188.1

64

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

mg/dL

null

854

Vaccination administered at age 45 to produce active immunity.

1975-09-07

Hwa978

2021-03-21

15

outpatient

33,879,002

Administration of vaccine to produce active immunity (procedure)

142.58

278.58

0

null

45

null

855

Second vaccination dose administered at 45.

1975-09-07

Hwa978

2021-04-11

15

outpatient

33,879,002

Administration of vaccine to produce active immunity (procedure)

142.58

278.58

0

null

45

null

856

At 46, patient is full-time employed, reports environmental violence exposure and gingivitis; dental referral made.

1975-09-07

Hwa978

2022-02-06

15

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

46

Height 161.2 cm, PainScore 0.0 {score}, Weight 76.0 kg, BMI 29.3 kg/m2, DBP 79.0 mm[Hg], SBP 140.0 mm[Hg], HR 88.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Full-time employed, Enviro violence, Gingivitis

Amlodipine 2.5mg tab

Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral

161.2

0

76

null

79

140

88

12

null

Never smoked tobacco (finding) nan

29.3

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

857

Dental consultation and treatment including scaling and fluoride applied at 46.

1975-09-07

Hwa978

2022-02-20

15

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

1,986.29

66,383,009

Gingivitis (disorder)

46

null

NaF 2.72% oral gel

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

null

858

Presented at 46 with acute bronchitis; sputum exam done and treated with APAP 325mg.

1975-09-07

Hwa978

2022-04-14

15

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

2,715.8

2,172.64

10,509,002

Acute bronchitis (disorder)

46

null

Acute bronchitis

APAP 325mg tab

Sputum exam

null

859

At 47, medication review and comprehensive mental health and dental assessments; patient reports intimate partner violence (IPV).

1975-09-07

Hwa978

2023-02-12

15

wellness

162,673,000

General examination of patient (procedure)

136.8

1,567

88.03

null

47

Height 161.2 cm, PainScore 4.0 {score}, Weight 77.5 kg, BMI 29.8 kg/m2, DBP 85.0 mm[Hg], SBP 125.0 mm[Hg], HR 97.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan

IPV

Amlodipine 2.5mg tab

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

161.2

4

77.5

null

85

125

97

16

null

Never smoked tobacco (finding) nan

29.8

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

860

Routine dental care continued at 47.

1975-09-07

Hwa978

2023-02-26

15

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

2,829.4

103,697,008

Patient referral for dental care (procedure)

47

null

NaF 2.72% oral gel

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

null

861

At 47, patient presented with viral sinusitis; symptom management provided.

1975-09-07

Hwa978

2023-07-12

15

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

68.44

444,814,009

Viral sinusitis (disorder)

47

null

Viral sinusitis

null

862

Encounter at 48 for rotator cuff injury; treatment plan initiated.

1975-09-07

Hwa978

2024-01-25

15

ambulatory

185,347,001

Encounter for problem (procedure)

85.55

0

307,731,004

Injury of tendon of the rotator cuff of shoulder (disorder)

48

null

Rotator cuff injury

null

863

General exam at 48 with medication review due; patient reports social isolation.

1975-09-07

Hwa978

2024-02-18

15

wellness

162,673,000

General examination of patient (procedure)

136.8

1,716.16

275.7

null

48

Height 161.2 cm, PainScore 2.0 {score}, Weight 79.1 kg, BMI 30.4 kg/m2, DBP 88.0 mm[Hg], SBP 136.0 mm[Hg], HR 92.0 /min, RR 14.0 /min, TotalCholesterol 143.9 mg/dL, HDL 53.0 mg/dL, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 12.7 g/dL, AutoHct 42.9 %, AutoMCV 86.8 fL, MCH 27.7 pg, MCHC 33.9 g/dL, RDWv 40.1 fL, PlateletCount 435.8 10*3/uL, PDW 260.0 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan

Med review due, Social isolation

Amlodipine 2.5mg tab

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

161.2

2

79.1

null

88

136

92

14

3.6

5.2

12.7

42.9

86.8

27.7

33.9

40.1

435.8

260

10.5

Never smoked tobacco (finding) nan

30.4

null

143.9

53

null

cm

{score}

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

fL

10*3/uL

fL

kg/m2

null

mg/dL

null

864

Routine check-up at 48 with no additional findings.

1975-09-07

Hwa978

2024-04-23

15

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

68.44

307,731,004

Injury of tendon of the rotator cuff of shoulder (disorder)

48

null

865

At 49, patient partially employed and reports stress and gingivitis; medication review pending; dental referral made.

1975-09-07

Hwa978

2025-02-23

15

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

49

Height 161.2 cm, PainScore 3.0 {score}, Weight 80.6 kg, BMI 31.0 kg/m2, DBP 87.0 mm[Hg], SBP 136.0 mm[Hg], HR 68.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan

Med review due, Part-time employed, Stress, Gingivitis

Amlodipine 2.5mg tab

Health/social needs assess, Depression screen, Depression screen, Dental referral

161.2

3

80.6

null

87

136

68

15

null

Never smoked tobacco (finding) nan

31

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

866

Dental consultation and treatment provided at 49, including scaling and bitewing x-rays.

1975-09-07

Hwa978

2025-03-09

15

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,105.35

0

66,383,009

Gingivitis (disorder)

49

null

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

null

867

Patient presented for a routine well child visit at age 13. No procedures, medications, or conditions noted.

1993-01-06

Daniella68

2006-02-01

16

wellness

410,620,009

Well child visit (procedure)

136.8

1,055.9

0

null

13

null

868

At age 17, patient attended a well child visit. Medication review was due, and risk behaviors were identified for monitoring.

1993-01-06

Daniella68

2010-02-24

16

wellness

410,620,009

Well child visit (procedure)

136.8

704.2

null

17

null

Med review due, Risk behaviors

null

869

During general examination at 18 years, social factors including poor housing and full-time employment as well as higher education status were noted.

1993-01-06

Daniella68

2011-03-02

16

wellness

162,673,000

General examination of patient (procedure)

136.8

704.2

0

null

18

null

Poor housing, Higher ed, Full-time employed

null

870

ED admission for knee injury diagnosed as ACL injury. Patient treated with Ibuprofen 200mg tablets for pain management.

1993-01-06

Daniella68

2014-12-21

16

emergency

50,849,002

Emergency room admission (procedure)

146.18

577.58

527.58

125,601,008

Injury of knee (disorder)

21

null

Knee injury, ACL injury

Ibuprofen 200mg tab

null

871

Consultation visit where Trinessa 28d pack contraceptive was initiated.

1993-01-06

Daniella68

2015-01-31

16

outpatient

698,314,001

Consultation for treatment (procedure)

142.58

0

389,095,005

Contraception care (regime/therapy)

22

null

Trinessa 28d pack

null

872

General exam revealed social isolation and patient reported increased stress.

1993-01-06

Daniella68

2015-03-11

16

wellness

162,673,000

General examination of patient (procedure)

136.8

1,186.78

0

null

22

null

Social isolation, Stress

null

873

Patient presented with sore throat; throat culture performed confirming acute viral pharyngitis.

1993-01-06

Daniella68

2015-08-13

16

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

948.35

0

195,662,009

Acute viral pharyngitis (disorder)

22

BodyTemp 37.0 Cel

Acute viral pharyngitis

null

Throat culture

null

37

null

Cel

null

874

Encounter for symptoms consistent with viral sinusitis; supportive care recommended.

1993-01-06

Daniella68

2016-03-19

16

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

0

444,814,009

Viral sinusitis (disorder)

23

null

Viral sinusitis

null

875

Comprehensive assessment including medication reconciliation, mental health screenings, substance use evaluation, and dental referral due to gingivitis.

1993-01-06

Daniella68

2018-03-14

16

wellness

162,673,000

General examination of patient (procedure)

136.8

922.62

0

null

25

Height 161.7 cm, PainScore 0.0 {score}, Weight 74.6 kg, BMI 28.5 kg/m2, DBP 90.0 mm[Hg], SBP 112.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan

Gingivitis

null

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

161.7

0

74.6

null

90

112

86

14

null

Ex-smoker (finding) nan

28.5

null

cm

{score}

kg

null

mm[Hg]

/min

null

kg/m2

null

876

Dental check-up performed, addressing loose filling with cleanings and bitewing imaging; oral health education provided.

1993-01-06

Daniella68

2018-03-28

16

ambulatory

185,349,003

Encounter for check up (procedure)

85.55

3,536.75

0

66,383,009

Gingivitis (disorder)

25

null

Loose filling

null

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

null

877

Initial prenatal visit with comprehensive testing confirming normal pregnancy.

1993-01-06

Daniella68

2018-06-06

16

ambulatory

424,441,002

Prenatal initial visit (regime/therapy)

142.58

38,682.92

0

72,892,002

Normal pregnancy (finding)

25

null

Normal preg

null

Preg test, Fetal viability US, Fundal height eval, Fetal heart auscult, Blood typing, Complete hemogram w/diff, HBsAg, HIV Ag test, Chlamydia Ag test, GC titer, Syphilis titer, Urine cx, Genital cyto smear, Urine DM screen, Hep C Ab confirm, Rubella screen, VZV Ab, TB skin test, Urine protein, PE

null

878

Routine prenatal visit including fetal monitoring and amniocentesis for chromosomal abnormalities.

1993-01-06

Daniella68

2018-07-04

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

14,552.09

0

72,892,002

Normal pregnancy (finding)

25

null

Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy

null

879

Detailed fetal anatomy ultrasound and screening tests performed; normal findings.

1993-01-06

Daniella68

2018-08-01

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

5,960.16

0

72,892,002

Normal pregnancy (finding)

25

null

Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult

null

880

Continued routine prenatal monitoring with fundal height and fetal heart auscultation.

1993-01-06

Daniella68

2018-08-29

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

18,236.08

0

72,892,002

Normal pregnancy (finding)

25

null

Fundal height eval, Fetal heart auscult

null

881

Routine prenatal visit; no complications noted.

1993-01-06

Daniella68

2018-09-26

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

11,451.02

0

72,892,002

Normal pregnancy (finding)

25

null

Fundal height eval, Fetal heart auscult

null

882

Blood work and vaccinations administered during prenatal care; fetal monitoring continued.

1993-01-06

Daniella68

2018-10-24

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

12,304.49

0

72,892,002

Normal pregnancy (finding)

25

null

Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult

null

883

Routine prenatal evaluation showing stable pregnancy.

1993-01-06

Daniella68

2018-11-21

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

5,096.43

0

72,892,002

Normal pregnancy (finding)

25

null

Fundal height eval, Fetal heart auscult

null

884

Prenatal visit identified eclampsia; Group B Strep screening done; close monitoring recommended.

1993-01-06

Daniella68

2018-12-19

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

5,914.77

0

72,892,002

Normal pregnancy (finding)

25

null

Eclampsia

null

GBS Ag, Fundal height eval, Fetal heart auscult

null

885

Emergency admission for delivery with epidural anesthesia; no complications reported.

1993-01-06

Daniella68

2019-01-02

16

emergency

183,460,006

Obstetric emergency hospital admission (procedure)

146.18

2,153.46

0

72,892,002

Normal pregnancy (finding)

25

null

Epidural, Delivery

null

886

Postnatal checkup performed including physical exam and depression screening.

1993-01-06

Daniella68

2019-02-13

16

ambulatory

169,762,003

Postnatal visit (regime/therapy)

142.58

1,005.38

855.38

null

26

null

PE, Depression screen

null

887

New prenatal pregnancy confirmed with ultrasound showing normal viability.

1993-01-06

Daniella68

2020-02-12

16

ambulatory

424,441,002

Prenatal initial visit (regime/therapy)

142.58

6,453.97

0

72,892,002

Normal pregnancy (finding)

27

null

Normal preg

null

Preg test, Fetal viability US

null

888

889

Patient initiated termination of pregnancy counseling followed by termination procedure.

1993-01-06

Daniella68

2020-02-25

16

ambulatory

270,427,003

Patient-initiated encounter (procedure)

85.55

4,444.98

0

72,892,002

Normal pregnancy (finding)

27

null

TOP counseling, TOP

null

889

890

Follow-up care after termination including physical exam and depression screening.

1993-01-06

Daniella68

2020-03-10

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

1,443.68

0

72,892,002

Normal pregnancy (finding)

27

null

TOP care, PE, Depression screen

null

890

893

ER visit for ankle sprain treated with acetaminophen; COVID-19 ruled out.

1993-01-06

Daniella68

2020-12-15

16

emergency

50,849,002

Emergency room admission (procedure)

146.18

0

384,709,000

Sprain (morphologic abnormality)

27

null

Sprain, Ankle sprain, R/O COVID

APAP 325mg tab

null

891

894

Symptoms consistent with COVID-19; patient advised mask use and testing.

1993-01-06

Daniella68

2021-01-11

16

ambulatory

185,345,009

Encounter for symptom (procedure)

85.55

235.57

0

840,544,004

Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)

28

BodyTemp 38.9 Cel, RR 37.7 /min, HR 67.5 /min, SaO2 88.3 %, DBP 123.0 mm[Hg], SBP 157.0 mm[Hg], Weight 79.0 kg, FluA_PCR Negative (qualifier value) nan, FluB_PCR Negative (qualifier value) nan, RSV Negative (qualifier value) nan, PIV1 Negative (qualifier value) nan, PIV2 Negative (qualifier value) nan, PIV3 Negative (qualifier value) nan, Rhinovirus Negative (qualifier value) nan, hMPV Negative (qualifier value) nan, AdenovirusPresence Negative (qualifier value) nan, COVID19 Detected (qualifier value) nan

Cough, Fatigue, Chills, Fever, Ageusia, COVID-19

null

Face mask

null

79

null

123

157

67.5

37.7

null

38.9

null

88.3

Negative (qualifier value) nan

Detected (qualifier value) nan

null

kg

null

mm[Hg]

/min

null

Cel

null

%

null

892

896

null

1993-01-06

Daniella68

2021-01-11

2021-01-23

16

inpatient

1,505,002

Hospital admission for isolation (procedure)

146.18

28,970.19

0

840,539,006

Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)

28

BodyTemp 42.2 Cel, RR 32.2 /min, HR 86.0 /min, SaO2 81.3 %, DBP 120.0 mm[Hg], SBP 155.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 5.5 10*6/uL, BloodHgb 13.0 g/dL, AutoHct 43.6 %, AutoMCV 79.7 fL, MCH 32.4 pg, MCHC 33.7 g/dL, RDW 13.1 %, PlateletCount 113.8 10*3/uL, NeutrophilPercent 33.2 %, LymphPercent 20.3 %, MonocytePercent 5.2 %, EosinophilPercent 5.4 %, BasophilPercent 2.1 %, NeutrophilCount 2.5 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 0.7 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 72.9 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 142.0 mmol/L, SerumK 4.4 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 8.1 mL/min, SerumProtein 5.9 g/dL, AlbuminMass 5.2 g/dL, TotalBilirubin 8.5 mg/dL, AlkPhosActivity 60.6 U/L, ALT 24.7 U/L, AST 8.8 U/L, DDimer 0.3 ug/mL, Ferritin 444.8 ug/L, hsTnI 1.5 pg/mL, LDH 206.9 U/L, CK 50.7 U/L, CRP 9.6 mg/L, PT 12.9 s, INR 1.6 {INR}, PCT 0.1 ng/mL, BodyTemp 38.8 Cel, RR 29.6 /min, HR 157.3 /min, SaO2 82.5 %, DBP 125.0 mm[Hg], SBP 151.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.4 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 11.8 g/dL, AutoHct 40.1 %, AutoMCV 83.9 fL, MCH 27.4 pg, MCHC 34.2 g/dL, RDW 14.3 %, PlateletCount 147.7 10*3/uL, NeutrophilPercent 33.6 %, LymphPercent 24.0 %, MonocytePercent 13.7 %, EosinophilPercent 3.8 %, BasophilPercent 3.8 %, NeutrophilCount 1.7 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.1 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 72.9 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 2.5 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 142.0 mmol/L, SerumK 4.4 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 8.0 mL/min, SerumProtein 5.7 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 10.5 mg/dL, AlkPhosActivity 77.3 U/L, ALT 34.3 U/L, AST 16.1 U/L, BodyTemp 42.1 Cel, RR 33.6 /min, HR 77.0 /min, SaO2 82.8 %, DBP 124.0 mm[Hg], SBP 149.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.1 10*3/uL, AutoRBCCount 3.8 10*6/uL, BloodHgb 13.1 g/dL, AutoHct 44.7 %, AutoMCV 85.6 fL, MCH 26.6 pg, MCHC 34.1 g/dL, RDW 13.0 %, PlateletCount 115.0 10*3/uL, NeutrophilPercent 29.2 %, LymphPercent 15.0 %, MonocytePercent 13.4 %, EosinophilPercent 4.2 %, BasophilPercent 2.9 %, NeutrophilCount 3.0 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 1.2 10*3/uL, EosinophilCount 0.6 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.6 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 13.1 mL/min, SerumProtein 7.2 g/dL, AlbuminMass 4.6 g/dL, TotalBilirubin 11.7 mg/dL, AlkPhosActivity 78.4 U/L, ALT 31.6 U/L, AST 36.8 U/L, DDimer 0.4 ug/mL, Ferritin 488.3 ug/L, hsTnI 2.9 pg/mL, LDH 231.1 U/L, CK 19.3 U/L, CRP 11.9 mg/L, PT 10.0 s, INR 2.1 {INR}, PCT 0.0 ng/mL, BodyTemp 40.3 Cel, RR 32.2 /min, HR 51.7 /min, SaO2 86.5 %, DBP 124.0 mm[Hg], SBP 150.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.9 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 12.0 g/dL, AutoHct 38.2 %, AutoMCV 88.8 fL, MCH 31.9 pg, MCHC 33.3 g/dL, RDW 12.7 %, PlateletCount 132.9 10*3/uL, NeutrophilPercent 10.0 %, LymphPercent 9.6 %, MonocytePercent 14.2 %, EosinophilPercent 4.5 %, BasophilPercent 3.4 %, NeutrophilCount 1.9 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 0.6 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.5 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 11.4 mL/min, SerumProtein 6.3 g/dL, AlbuminMass 3.6 g/dL, TotalBilirubin 8.8 mg/dL, AlkPhosActivity 97.5 U/L, ALT 21.9 U/L, AST 24.6 U/L, BodyTemp 41.6 Cel, RR 22.6 /min, HR 141.1 /min, SaO2 76.5 %, DBP 119.0 mm[Hg], SBP 147.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.2 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 12.3 g/dL, AutoHct 43.1 %, AutoMCV 96.7 fL, MCH 32.1 pg, MCHC 34.7 g/dL, RDW 13.9 %, PlateletCount 149.4 10*3/uL, NeutrophilPercent 27.5 %, LymphPercent 13.4 %, MonocytePercent 14.2 %, EosinophilPercent 5.9 %, BasophilPercent 2.2 %, NeutrophilCount 2.8 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.3 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 11.3 mL/min, SerumProtein 7.5 g/dL, AlbuminMass 4.7 g/dL, TotalBilirubin 11.2 mg/dL, AlkPhosActivity 86.6 U/L, ALT 18.0 U/L, AST 21.5 U/L, DDimer 0.2 ug/mL, Ferritin 494.4 ug/L, hsTnI 3.0 pg/mL, LDH 207.2 U/L, CK 40.1 U/L, CRP 10.5 mg/L, PT 10.4 s, INR 2.1 {INR}, PCT 0.2 ng/mL, BodyTemp 40.9 Cel, RR 36.6 /min, HR 143.9 /min, SaO2 85.2 %, DBP 125.0 mm[Hg], SBP 143.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.2 10*3/uL, AutoRBCCount 4.0 10*6/uL, BloodHgb 13.7 g/dL, AutoHct 42.8 %, AutoMCV 93.4 fL, MCH 29.5 pg, MCHC 33.5 g/dL, RDW 15.0 %, PlateletCount 109.2 10*3/uL, NeutrophilPercent 19.4 %, LymphPercent 23.5 %, MonocytePercent 10.4 %, EosinophilPercent 5.7 %, BasophilPercent 2.0 %, NeutrophilCount 1.5 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 1.2 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.8 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 12.7 mL/min, SerumProtein 6.5 g/dL, AlbuminMass 5.2 g/dL, TotalBilirubin 7.6 mg/dL, AlkPhosActivity 92.6 U/L, ALT 40.2 U/L, AST 6.9 U/L, BodyTemp 37.8 Cel, RR 35.8 /min, HR 100.6 /min, SaO2 82.0 %, DBP 126.0 mm[Hg], SBP 151.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.1 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 11.7 g/dL, AutoHct 43.4 %, AutoMCV 84.7 fL, MCH 31.5 pg, MCHC 33.8 g/dL, RDW 15.2 %, PlateletCount 132.5 10*3/uL, NeutrophilPercent 40.1 %, LymphPercent 13.4 %, MonocytePercent 7.1 %, EosinophilPercent 3.6 %, BasophilPercent 2.5 %, NeutrophilCount 2.2 10*3/uL, LymphCount 0.8 10*3/uL, MonocyteCount 0.9 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.6 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 7.3 mL/min, SerumProtein 7.0 g/dL, AlbuminMass 4.3 g/dL, TotalBilirubin 9.2 mg/dL, AlkPhosActivity 61.5 U/L, ALT 7.3 U/L, AST 8.1 U/L, DDimer 0.5 ug/mL, Ferritin 450.4 ug/L, hsTnI 3.4 pg/mL, LDH 226.7 U/L, CK 43.4 U/L, CRP 10.4 mg/L, PT 11.7 s, INR 1.3 {INR}, PCT 0.0 ng/mL, BodyTemp 41.5 Cel, RR 26.0 /min, HR 174.9 /min, SaO2 88.3 %, DBP 121.0 mm[Hg], SBP 156.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.3 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 14.1 g/dL, AutoHct 39.1 %, AutoMCV 81.2 fL, MCH 31.4 pg, MCHC 34.2 g/dL, RDW 12.7 %, PlateletCount 135.9 10*3/uL, NeutrophilPercent 18.6 %, LymphPercent 11.9 %, MonocytePercent 13.6 %, EosinophilPercent 4.6 %, BasophilPercent 3.8 %, NeutrophilCount 2.5 10*3/uL, LymphCount 0.8 10*3/uL, MonocyteCount 0.9 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.8 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 13.3 mL/min, SerumProtein 6.4 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 11.4 mg/dL, AlkPhosActivity 94.5 U/L, ALT 41.3 U/L, AST 11.3 U/L, BodyTemp 39.7 Cel, RR 32.4 /min, HR 67.5 /min, SaO2 88.0 %, DBP 127.0 mm[Hg], SBP 145.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.5 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 11.1 g/dL, AutoHct 45.6 %, AutoMCV 79.4 fL, MCH 27.9 pg, MCHC 31.6 g/dL, RDW 12.7 %, PlateletCount 121.9 10*3/uL, NeutrophilPercent 25.0 %, LymphPercent 9.5 %, MonocytePercent 12.3 %, EosinophilPercent 4.4 %, BasophilPercent 3.9 %, NeutrophilCount 2.8 10*3/uL, LymphCount 0.8 10*3/uL, MonocyteCount 0.8 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 97.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 13.2 mL/min, SerumProtein 7.4 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 12.7 mg/dL, AlkPhosActivity 89.7 U/L, ALT 43.0 U/L, AST 39.4 U/L, DDimer 0.5 ug/mL, Ferritin 508.9 ug/L, hsTnI 3.0 pg/mL, LDH 235.4 U/L, CK 43.3 U/L, CRP 11.9 mg/L, PT 10.0 s, INR 3.0 {INR}, PCT 0.0 ng/mL, BodyTemp 39.7 Cel, RR 22.5 /min, HR 84.9 /min, SaO2 87.4 %, DBP 123.0 mm[Hg], SBP 161.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.4 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 11.8 g/dL, AutoHct 46.2 %, AutoMCV 88.0 fL, MCH 31.6 pg, MCHC 34.1 g/dL, RDW 15.2 %, PlateletCount 140.3 10*3/uL, NeutrophilPercent 12.3 %, LymphPercent 17.6 %, MonocytePercent 14.0 %, EosinophilPercent 4.6 %, BasophilPercent 3.7 %, NeutrophilCount 3.9 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 0.7 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 76.1 mg/dL, SerumBUN 9.2 mg/dL, SerumCreatinine 2.9 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 111.0 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 5.7 mL/min, SerumProtein 7.6 g/dL, AlbuminMass 5.5 g/dL, TotalBilirubin 8.6 mg/dL, AlkPhosActivity 44.7 U/L, ALT 23.5 U/L, AST 3.9 U/L, BodyTemp 41.7 Cel, RR 22.7 /min, HR 113.5 /min, SaO2 80.8 %, DBP 119.0 mm[Hg], SBP 156.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.8 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 11.3 g/dL, AutoHct 40.1 %, AutoMCV 92.6 fL, MCH 31.4 pg, MCHC 35.7 g/dL, RDW 15.4 %, PlateletCount 140.7 10*3/uL, NeutrophilPercent 11.3 %, LymphPercent 5.5 %, MonocytePercent 14.0 %, EosinophilPercent 3.8 %, BasophilPercent 2.4 %, NeutrophilCount 2.7 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 1.3 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 76.1 mg/dL, SerumBUN 9.2 mg/dL, SerumCreatinine 2.9 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 111.0 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 12.7 mL/min, SerumProtein 7.3 g/dL, AlbuminMass 4.7 g/dL, TotalBilirubin 12.6 mg/dL, AlkPhosActivity 69.4 U/L, ALT 33.4 U/L, AST 1.8 U/L, DDimer 0.7 ug/mL, Ferritin 467.7 ug/L, hsTnI 4.6 pg/mL, LDH 282.4 U/L, CK 13.9 U/L, CRP 11.9 mg/L, PT 11.6 s, INR 1.6 {INR}, PCT 0.1 ng/mL, BodyTemp 40.2 Cel, RR 20.0 /min, HR 166.5 /min, SaO2 86.4 %, DBP 124.0 mm[Hg], SBP 148.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 12.4 g/dL, AutoHct 39.9 %, AutoMCV 86.6 fL, MCH 32.0 pg, MCHC 33.2 g/dL, RDW 14.4 %, PlateletCount 124.0 10*3/uL, NeutrophilPercent 20.8 %, LymphPercent 11.4 %, MonocytePercent 12.1 %, EosinophilPercent 3.2 %, BasophilPercent 4.0 %, NeutrophilCount 2.6 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 0.7 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 76.1 mg/dL, SerumBUN 9.2 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 111.0 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 5.9 mL/min, SerumProtein 5.7 g/dL, AlbuminMass 4.1 g/dL, TotalBilirubin 10.5 mg/dL, AlkPhosActivity 108.6 U/L, ALT 25.1 U/L, AST 10.4 U/L, BodyTemp 39.0 Cel, RR 39.0 /min, HR 178.9 /min, SaO2 88.5 %, DBP 120.0 mm[Hg], SBP 146.0 mm[Hg], Weight 79.0 kg, AutoWBCCount 3.3 10*3/uL, AutoRBCCount 5.0 10*6/uL, BloodHgb 11.4 g/dL, AutoHct 39.3 %, AutoMCV 84.7 fL, MCH 32.6 pg, MCHC 33.5 g/dL, RDW 15.1 %, PlateletCount 118.0 10*3/uL, NeutrophilPercent 22.6 %, LymphPercent 20.6 %, MonocytePercent 5.8 %, EosinophilPercent 5.7 %, BasophilPercent 2.2 %, NeutrophilCount 2.0 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 1.1 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 76.1 mg/dL, SerumBUN 9.2 mg/dL, SerumCreatinine 2.5 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 111.0 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 5.2 mL/min, SerumProtein 6.1 g/dL, AlbuminMass 5.2 g/dL, TotalBilirubin 6.3 mg/dL, AlkPhosActivity 46.4 U/L, ALT 5.4 U/L, AST 27.5 U/L, DDimer 0.6 ug/mL, Ferritin 574.2 ug/L, hsTnI 4.1 pg/mL, LDH 347.1 U/L, CK 43.9 U/L, CRP 10.1 mg/L, PT 11.9 s, INR 2.8 {INR}, PCT 0.0 ng/mL, BodyTemp 36.6 Cel, COVID19 Not detected (qualifier value) nan, BodyTemp 36.9 Cel, COVID19 Not detected (qualifier value) nan

PNA, Hypoxemia, Resp distress, Acute DVT

0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 0.4ml Enoxaparin Na 100mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab, 1ml Enoxaparin Na 150mg/ml PFS, APAP 500mg tab

CXR, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position

null

79

null

120

155

86

32.2

3.6

5.5

13

43.6

79.7

32.4

33.7

null

113.8

null

42.2

null

72.9

19.9

2.7

9

142

4.4

107

26.4

8.1

null

81.3

null

Not detected (qualifier value) nan

null

13.1

5.9

5.2

8.5

60.6

24.7

8.8

null

1.5

444.8

null

33.2

20.3

5.2

5.4

2.1

2.5

1.1

0.7

0.3

0.2

0.3

206.9

50.7

9.6

12.9

1.6

0.1

null

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

null

10*3/uL

null

Cel

null

mg/dL

mmol/L

mL/min

null

%

null

%

g/dL

mg/dL

U/L

null

pg/mL

ug/L

null

%

10*3/uL

ug/mL

U/L

mg/L

s

{INR}

ng/mL

null

893

914

General exam showed hypertension under treatment with Amlodipine; patient reports ongoing stress and medication review was conducted.

1993-01-06

Daniella68

2021-03-17

16

wellness

162,673,000

General examination of patient (procedure)

136.8

778.78

0

null

28

Height 161.7 cm, PainScore 1.0 {score}, Weight 78.1 kg, BMI 29.9 kg/m2, DBP 126.0 mm[Hg], SBP 143.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, AutoWBCCount 6.5 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 16.2 g/dL, AutoHct 43.9 %, AutoMCV 90.5 fL, MCH 29.3 pg, MCHC 34.4 g/dL, RDWv 41.9 fL, PlateletCount 182.4 10*3/uL, PDW 378.2 fL, MPV 9.7 fL, SmokingStatus Ex-smoker (finding) nan

HTN, Med review due, Stress

Amlodipine 2.5mg tab, Amlodipine 2.5mg tab

Health/social needs assess, Anxiety assess, Depression screen, Depression screen

161.7

1

78.1

null

126

143

96

15

6.5

4.5

16.2

43.9

90.5

29.3

34.4

41.9

182.4

378.2

9.7

Ex-smoker (finding) nan

29.9

null

cm

{score}

kg

null

mm[Hg]

/min

10*3/uL

10*6/uL

g/dL

%

fL

pg

g/dL

fL

10*3/uL

fL

kg/m2

null

894

915

Follow-up visit with Lisinopril 10mg initiated for blood pressure management.

1993-01-06

Daniella68

2021-04-16

16

ambulatory

390,906,007

Follow-up encounter (procedure)

85.55

0

59,621,000

Essential hypertension (disorder)

28

DBP 113.0 mm[Hg], SBP 145.0 mm[Hg]

null

Lisinopril 10mg tab

null

113

145

null

mm[Hg]

null

895

916

Routine follow-up visit with no new medications or procedures.

1993-01-06

Daniella68

2021-06-15

16

ambulatory

390,906,007

Follow-up encounter (procedure)

85.55

0

59,621,000

Essential hypertension (disorder)

28

DBP 104.0 mm[Hg], SBP 118.0 mm[Hg]

null

104

118

null

mm[Hg]

null

896

917

Continued monitoring without interventions or medication changes.

1993-01-06

Daniella68

2021-08-14

16

ambulatory

390,906,007

Follow-up encounter (procedure)

85.55

0

59,621,000

Essential hypertension (disorder)

28

DBP 104.0 mm[Hg], SBP 124.0 mm[Hg]

null

104

124

null

mm[Hg]

null

897

918

Comprehensive initial prenatal evaluation showed normal pregnancy progression.

1993-01-06

Daniella68

2021-09-15

16

ambulatory

424,441,002

Prenatal initial visit (regime/therapy)

142.58

51,048.6

0

72,892,002

Normal pregnancy (finding)

28

null

Normal preg

null

Preg test, Fetal viability US, Fundal height eval, Fetal heart auscult, Blood typing, Complete hemogram w/diff, HBsAg, HIV Ag test, Chlamydia Ag test, GC titer, Syphilis titer, Urine cx, Genital cyto smear, Urine DM screen, Hep C Ab confirm, Rubella screen, VZV Ab, TB skin test, Urine protein, PE

null

898

919

Routine prenatal surveillance including fetal monitoring and chromosomal testing.

1993-01-06

Daniella68

2021-10-13

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

14,450.56

0

72,892,002

Normal pregnancy (finding)

28

null

Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy

null

899

920

Fetal anatomy and biochemical screening normal.

1993-01-06

Daniella68

2021-11-10

16

ambulatory

424,619,006

Prenatal visit (regime/therapy)

142.58

8,690.23

0

72,892,002

Normal pregnancy (finding)

28

null

Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult

null