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1.75k
ENCOUNTER_ID
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1.79k
CLINICAL_NOTES
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20
334
BIRTHDATE
stringdate
1922-09-26 00:00:00
2019-12-03 00:00:00
FIRST
stringclasses
33 values
START
stringdate
1939-11-15 00:00:00
2025-03-27 00:00:00
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stringdate
1939-11-15 00:00:00
2025-03-27 00:00:00
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int64
0
33
ENCOUNTERCLASS
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10 values
CODE
int64
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703M
DESCRIPTION
stringclasses
32 values
BASE_ENCOUNTER_COST
float64
75
146
TOTAL_CLAIM_COST
float64
75
106k
PAYER_COVERAGE
float64
0
85k
REASONCODE
float64
6.53M
124,171B
REASONDESCRIPTION
stringclasses
66 values
PATIENT_AGE
int64
3
89
DESCRIPTION_OBSERVATIONS
stringlengths
11
12.5k
DESCRIPTION_CONDITIONS
stringclasses
255 values
DESCRIPTION_MEDICATIONS
stringclasses
90 values
DESCRIPTION_PROCEDURES
stringclasses
303 values
CLINICAL_NOTES_CLEANED
stringlengths
9
294
200
200
At 38, presented with symptoms consistent with chronic sinusitis; no procedures or medications reported.
1968-06-12
Georgene966
2006-06-30
2006-06-30
6
ambulatory
185,345,009
Encounter for symptom (procedure)
85.55
92.93
0
75,498,004
Acute bacterial sinusitis (disorder)
38
null
Chronic sinusitis
null
null
38, present symptoms consistent chronic sinusitis; procedures medications reported.
201
201
General exam at 40 noted need for medication review; no procedures, medications, or conditions detailed.
1968-06-12
Georgene966
2008-11-12
2008-11-12
6
wellness
162,673,000
General examination of patient (procedure)
136.8
4,192.73
3,295.16
null
null
40
null
Med review due
null
null
general exam 40 note need medication review; procedures, medications, condition detailed.
202
202
At 41, treated for Metabolic Syndrome and prediabetes, taking HCTZ, Albuterol nebulizer, and Fluticasone/Salmeterol inhalers; part-time employed; no procedures.
1968-06-12
Georgene966
2009-11-18
2009-11-18
6
wellness
162,673,000
General examination of patient (procedure)
136.8
10,516.75
8,377.77
null
null
41
null
MetS, Prediabetes, Part-time employed
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
null
41, treat metabolic syndrome prediabetes, take hctz, albuterol nebulizer, fluticasone/salmeterol inhalers; part-time employed; procedures.
203
203
Consultation at 41 included prescription of Errin 28-day contraceptive pack; no procedures or conditions documented.
1968-06-12
Georgene966
2010-04-29
2010-04-29
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
41
null
null
Errin 28d pack
null
consultation 41 include prescription errin 28-day contraceptive pack; procedures condition documented.
204
204
At 42, comprehensive exam with spirometry, mental health, social needs assessments, and dental referral; medications continued; patient now full-time employed but experiencing stress and environmental violence.
1968-06-12
Georgene966
2010-11-24
2010-11-24
6
wellness
162,673,000
General examination of patient (procedure)
136.8
4,639.66
3,615.56
null
null
42
FEV1/FVC 66.1 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 81.8 kg, BMI 30.9 kg/m2, DBP 71.0 mm[Hg], SBP 141.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, BloodGlucose 67.5 mg/dL, BloodBUN 16.8 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 142.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 109...
Full-time employed, Stress, Enviro violence
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral
42, comprehensive exam spirometry, mental health, social need assessments, dental referral; medications continued; patient full-time employ experience stress environmental violence.
205
205
Dental checkup at 42 included multiple procedures addressing gum disease; no new medications or conditions.
1968-06-12
Georgene966
2010-12-08
2010-12-08
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
4,399.55
3,519.64
103,697,008
Patient referral for dental care (procedure)
42
null
Gum disease
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed
dental checkup 42 include multiple procedures address gum disease; new medications conditions.
206
206
At 42, received intramuscular injection of 1ml MPA 150mg/ml as part of treatment; no other details.
1968-06-12
Georgene966
2011-04-24
2011-04-24
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
1,250.85
1,000.68
389,095,005
Contraception care (regime/therapy)
42
null
null
1ml MPA 150mg/ml inj
IM inj
42, receive intramuscular injection 1ml mpa 150mg/ml part treatment; details.
207
207
General exam at 43 included multiple assessments and medication reconciliation; patient exhibited intimate partner violence (IPV) and gingivitis.
1968-06-12
Georgene966
2011-11-30
2011-11-30
6
wellness
162,673,000
General examination of patient (procedure)
136.8
14,411.41
11,529.12
null
null
43
FEV1/FVC 72.4 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 83.7 kg, BMI 31.6 kg/m2, DBP 76.0 mm[Hg], SBP 137.0 mm[Hg], HR 95.0 /min, RR 14.0 /min, BloodGlucose 95.4 mg/dL, BloodBUN 10.9 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 140.0 mmol/L, BloodK 4.0 mmol/L, BloodChloride 105...
IPV, Gingivitis
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral
general exam 43 include multiple assessments medication reconciliation; patient exhibit intimate partner violence (ipv) gingivitis.
208
208
Dental checkup at 43 involved cleaning and oral health education; no new medications or conditions.
1968-06-12
Georgene966
2011-12-14
2011-12-14
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
2,673.95
2,139.16
66,383,009
Gingivitis (disorder)
43
null
null
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed
dental checkup 43 involve clean oral health education; new medications conditions.
209
209
At 43, received subcutaneous contraceptive implant with Etonogestrel 68mg; no other data.
1968-06-12
Georgene966
2012-04-18
2012-04-18
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
4,052.91
3,242.32
389,095,005
Contraception care (regime/therapy)
43
null
null
Etonogestrel 68mg implant
SC contraceptive insert
43, receive subcutaneous contraceptive implant etonogestrel 68mg; data.
210
210
At 44, multiple assessments performed; medications continued; noted medication review due and ongoing stress.
1968-06-12
Georgene966
2012-12-05
2012-12-05
6
wellness
162,673,000
General examination of patient (procedure)
136.8
4,138.11
3,310.48
null
null
44
FEV1/FVC 58.7 %, HbA1c 6.4 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 85.6 kg, BMI 32.3 kg/m2, DBP 71.0 mm[Hg], SBP 142.0 mm[Hg], HR 91.0 /min, RR 13.0 /min, BloodGlucose 88.6 mg/dL, BloodBUN 7.2 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.5 mmol/L, BloodChloride 101....
Med review due, Stress
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess
44, multiple assessments performed; medications continued; note medication review due ongoing stress.
211
211
Prescription of Jolivette 28-day contraceptive pack at 44; no procedures or conditions.
1968-06-12
Georgene966
2013-04-13
2013-04-13
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
44
null
null
Jolivette 28d pack
null
prescription jolivette 28-day contraceptive pack 44; procedures conditions.
212
212
At 44, IUD replacement performed; no medications or conditions indicated.
1968-06-12
Georgene966
2013-05-15
2013-05-15
6
outpatient
308,335,008
Patient encounter procedure (procedure)
142.58
6,430.81
5,144.64
389,095,005
Contraception care (regime/therapy)
44
null
null
null
IUD replacement
44, iud replacement performed; medications condition indicated.
213
213
Presented with viral sinusitis symptoms at 44, treated with Amoxicillin/Clavulanate 250/125mg tablets.
1968-06-12
Georgene966
2013-06-08
2013-06-08
6
ambulatory
185,345,009
Encounter for symptom (procedure)
85.55
85.55
68.44
444,814,009
Viral sinusitis (disorder)
44
null
Viral sinusitis
Amox/Clav 250/125mg tab
null
present viral sinusitis symptoms 44, treat amoxicillin/clavulanate 250/125mg tablets.
214
214
At 45, comprehensive exam with mental health and dental referrals; medications continued; no active conditions noted.
1968-06-12
Georgene966
2013-12-11
2013-12-11
6
wellness
162,673,000
General examination of patient (procedure)
136.8
5,137.28
4,066.59
null
null
45
FEV1/FVC 77.0 %, HbA1c 6.3 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 84.4 kg, BMI 31.9 kg/m2, DBP 81.0 mm[Hg], SBP 138.0 mm[Hg], HR 94.0 /min, RR 12.0 /min, BloodGlucose 88.3 mg/dL, BloodBUN 11.6 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.9 mmol/L, BloodK 4.3 mmol/L, BloodChloride 11...
null
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral
45, comprehensive exam mental health dental referrals; medications continued; active condition noted.
215
215
At 45, dental care including fluoride treatment and oral health education; sodium fluoride gel prescribed.
1968-06-12
Georgene966
2013-12-25
2013-12-25
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,105.35
2,484.28
103,697,008
Patient referral for dental care (procedure)
45
null
null
NaF 2.72% oral gel
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed
45, dental care include fluoride treatment oral health education; sodium fluoride gel prescribed.
216
216
Presented with chronic pain including low back pain and fibromyalgia; managed with Acetaminophen 325mg tablets.
1968-06-12
Georgene966
2014-01-31
2014-01-31
6
outpatient
185,347,001
Encounter for problem (procedure)
85.55
85.55
68.44
82,423,001
Chronic pain (finding)
45
DrugScreen Negative (qualifier value) nan
Chronic pain, Chronic LBP, Fibromyalgia
APAP 325mg tab (Tylenol)
null
present chronic pain include low back pain fibromyalgia; manage acetaminophen 325mg tablets.
217
217
Prescribed Errin 28-day contraceptive pack at 45; no additional details.
1968-06-12
Georgene966
2014-04-08
2014-04-08
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
45
null
null
Errin 28d pack
null
prescribe errin 28-day contraceptive pack 45; additional details.
218
218
At 46, assessment included domestic abuse screening; diagnoses of IPV and gingivitis noted; medications continued including APAP for pain.
1968-06-12
Georgene966
2014-12-17
2014-12-17
6
wellness
162,673,000
General examination of patient (procedure)
136.8
8,991.46
7,193.16
null
null
46
FEV1/FVC 56.1 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 79.5 kg, BMI 30.0 kg/m2, DBP 80.0 mm[Hg], SBP 132.0 mm[Hg], HR 96.0 /min, RR 14.0 /min, BloodGlucose 85.1 mg/dL, BloodBUN 17.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.4 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106...
IPV, Gingivitis
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral
46, assessment include domestic abuse screening; diagnose ipv gingivitis noted; medications continue include apap pain.
219
219
Dental visit at 46 involved bitewing imaging, fluoride application, and oral health education; sodium fluoride gel used.
1968-06-12
Georgene966
2014-12-31
2014-12-31
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,536.75
2,829.4
66,383,009
Gingivitis (disorder)
46
null
null
NaF 2.72% oral gel
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed
dental visit 46 involve bitewing imaging, fluoride application, oral health education; sodium fluoride gel used.
220
222
Contraceptive management continued with Errin 28-day pack at 46.
1968-06-12
Georgene966
2015-04-03
2015-04-03
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
46
null
null
Errin 28d pack
null
contraceptive management continue errin 28-day pack 46.
221
224
At 47, patient presented with strep throat; throat culture performed; treated with Penicillin VK 500mg tablets.
1968-06-12
Georgene966
2015-09-25
2015-09-25
6
ambulatory
185,345,009
Encounter for symptom (procedure)
85.55
3,536.75
2,666.34
43,878,008
Streptococcal sore throat (disorder)
47
BodyTemp 39.3 Cel
Strep throat
PCN VK 500mg tab
Throat culture
47, patient present strep throat; throat culture performed; treat penicillin vk 500mg tablets.
222
225
Routine checkup at 47 with respiratory and social assessments; medications continued.
1968-06-12
Georgene966
2015-10-07
2015-10-07
6
outpatient
185,349,003
Encounter for check up (procedure)
85.55
4,086.86
3,269.48
null
null
47
FEV1/FVC 62.5 %, HbA1c 5.9 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 81.1 kg, BMI 30.6 kg/m2, DBP 81.0 mm[Hg], SBP 132.0 mm[Hg], HR 73.0 /min, RR 12.0 /min, BloodGlucose 66.7 mg/dL, BloodBUN 15.4 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 140.9 mmol/L, BloodK 3.9 mmol/L, BloodChloride 105...
null
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Domestic abuse screen
routine checkup 47 respiratory social assessments; medications continued.
223
232
At 47, general exam included spirometry and anxiety assessment; patient recorded as not in workforce; medications maintained.
1968-06-12
Georgene966
2015-12-23
2015-12-23
6
wellness
162,673,000
General examination of patient (procedure)
136.8
5,492.05
4,393.63
null
null
47
FEV1/FVC 73.9 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 2.0 {score}, Weight 81.5 kg, BMI 30.8 kg/m2, DBP 81.0 mm[Hg], SBP 138.0 mm[Hg], HR 99.0 /min, RR 14.0 /min, BloodGlucose 80.3 mg/dL, BloodBUN 7.1 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 139.8 mmol/L, BloodK 4.0 mmol/L, BloodChloride 105....
Not in workforce
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Anxiety assess
47, general exam include spirometry anxiety assessment; patient record workforce; medications maintained.
224
243
Contraceptive treatment continued with Errin 28-day pack.
1968-06-12
Georgene966
2016-03-28
2016-03-28
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
47
null
null
Errin 28d pack
null
contraceptive treatment continue errin 28-day pack.
225
244
At 48, comprehensive exam with multiple screenings and dental referral; patient is full-time employed with gingivitis; medications continued.
1968-06-12
Georgene966
2016-12-28
2016-12-28
6
wellness
162,673,000
General examination of patient (procedure)
136.8
13,183.68
10,546.94
null
null
48
FEV1/FVC 49.8 %, HbA1c 6.0 %, Height 162.7 cm, PainScore 3.0 {score}, Weight 83.6 kg, BMI 31.6 kg/m2, DBP 81.0 mm[Hg], SBP 143.0 mm[Hg], HR 92.0 /min, RR 13.0 /min, BloodGlucose 88.9 mg/dL, BloodBUN 12.8 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 136.3 mmol/L, BloodK 5.2 mmol/L, BloodChloride 101...
Full-time employed, Gingivitis
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral
48, comprehensive exam multiple screenings dental referral; patient full-time employ gingivitis; medications continued.
226
247
Dental checkup at 48 revealed loose filling treated along with standard dental care and education.
1968-06-12
Georgene966
2017-01-11
2017-01-11
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,536.75
2,829.4
66,383,009
Gingivitis (disorder)
48
null
Loose filling
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed
dental checkup 48 reveal loose fill treat along standard dental care education.
227
252
Medication management included Jolivette 28-day contraceptive pack.
1968-06-12
Georgene966
2017-03-23
2017-03-23
6
outpatient
698,314,001
Consultation for treatment (procedure)
142.58
142.58
114.06
389,095,005
Contraception care (regime/therapy)
48
null
null
Jolivette 28d pack
null
medication management include jolivette 28-day contraceptive pack.
228
253
At 49, multiple assessments performed; patient experiencing stress and gingivitis; medications continued.
1968-06-12
Georgene966
2018-01-03
2018-01-03
6
wellness
162,673,000
General examination of patient (procedure)
136.8
10,111.95
8,089.56
null
null
49
FEV1/FVC 38.9 %, HbA1c 5.9 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 85.6 kg, BMI 32.4 kg/m2, DBP 73.0 mm[Hg], SBP 139.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, BloodGlucose 76.8 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 141.1 mmol/L, BloodK 4.8 mmol/L, BloodChloride 105...
Stress, Gingivitis
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral
49, multiple assessments performed; patient experience stress gingivitis; medications continued.
229
262
Dental visit at 49 included cleaning and fluoride application with oral health education.
1968-06-12
Georgene966
2018-01-17
2018-01-17
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,105.35
2,484.28
66,383,009
Gingivitis (disorder)
49
null
null
NaF 2.72% oral gel
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed
dental visit 49 include clean fluoride application oral health education.
230
276
At 49, IUD removal performed; no medication or condition updates.
1968-06-12
Georgene966
2018-04-04
2018-04-04
6
outpatient
308,335,008
Patient encounter procedure (procedure)
142.58
573.98
459.18
389,095,005
Contraception care (regime/therapy)
49
null
null
null
IUD removal
49, iud removal performed; medication condition updates.
231
278
Initial prenatal visit at 49 with pregnancy test and fetal ultrasound; patient history significant for first trimester miscarriage and blighted ovum.
1968-06-12
Georgene966
2018-05-23
2018-05-23
6
ambulatory
424,441,002
Prenatal initial visit (regime/therapy)
142.58
9,206.03
7,364.82
72,892,002
Normal pregnancy (finding)
49
null
Normal preg, 1st tri miscarriage, Blighted ovum
null
Preg test, Fetal viability US
initial prenatal visit 49 pregnancy test fetal ultrasound; patient history significant first trimester miscarriage blight ovum.
232
280
Prenatal visit at 49 included physical exam and depression screening; patient has history of miscarriage.
1968-06-12
Georgene966
2018-06-01
2018-06-01
6
ambulatory
424,619,006
Prenatal visit (regime/therapy)
142.58
1,005.38
804.3
35,999,006
Blighted ovum (disorder)
49
null
H/o miscarriage
null
PE, Depression screen
prenatal visit 49 include physical exam depression screening; patient history miscarriage.
233
286
Routine checkup at 50 included colonoscopy; no medication or conditions noted.
1968-06-12
Georgene966
2018-06-13
2018-06-13
6
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
7,259.46
5,621.17
275,978,004
Screening for malignant neoplasm of colon (procedure)
50
null
null
null
Colonoscopy
routine checkup 50 include colonoscopy; medication condition noted.
234
288
General exam at 50 with multiple screenings; patient currently unemployed; medications continued.
1968-06-12
Georgene966
2019-01-09
2019-01-09
6
wellness
162,673,000
General examination of patient (procedure)
136.8
4,274.11
3,419.28
null
null
50
FEV1/FVC 30.3 %, HbA1c 6.1 %, Height 162.7 cm, PainScore 1.0 {score}, Weight 84.3 kg, BMI 31.8 kg/m2, DBP 79.0 mm[Hg], SBP 141.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, BloodGlucose 75.8 mg/dL, BloodBUN 8.6 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 140.6 mmol/L, BloodK 5.0 mmol/L, BloodChloride 104....
Unemployed
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess, Domestic abuse screen
general exam 50 multiple screenings; patient currently unemployed; medications continued.
235
297
At 51, presented with viral sinusitis; no procedures or medications recorded.
1968-06-12
Georgene966
2019-07-27
2019-07-27
6
ambulatory
185,345,009
Encounter for symptom (procedure)
85.55
85.55
0
444,814,009
Viral sinusitis (disorder)
51
null
Viral sinusitis
null
null
51, present viral sinusitis; procedures medications recorded.
236
298
General exam at 51 indicated full-time employment but limited social contact; spirometry done; medications continued.
1968-06-12
Georgene966
2020-01-15
2020-01-15
6
wellness
162,673,000
General examination of patient (procedure)
136.8
14,535.49
11,628.38
null
null
51
FEV1/FVC 30.1 %, HbA1c 6.2 %, Height 162.7 cm, PainScore 0.0 {score}, Weight 80.0 kg, BMI 30.2 kg/m2, DBP 79.0 mm[Hg], SBP 137.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, BloodGlucose 84.6 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107...
Full-time employed, Limited social contact
HCTZ 25mg tab, Albuterol 5mg/ml neb soln, APAP 325mg tab (Tylenol), 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI
Spirometry, Health/social needs assess
general exam 51 indicate full-time employment limit social contact; spirometry done; medications continued.
237
300
At 51, evaluated for chronic congestive heart failure with ECG, chest x-ray, and NYHA classification.
1968-06-12
Georgene966
2020-02-28
2020-02-28
6
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
6,187.51
4,949.98
88,805,009
Chronic congestive heart failure (disorder)
51
Symptom Dyspnea on exertion (finding) nan, Symptom Dyspnea (finding) nan, Symptom Paroxysmal dyspnea (finding) nan, Symptom Orthopnea (finding) nan, Symptom Edema (finding) nan, Symptom Rales (finding) nan, Weight 80.2 kg, NTproBNP 1407.3 pg/mL, AutoWBCCount 6.7 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 11.4 g/dL, Au...
Chronic CHF
null
ECG, CXR, NYHA class assess
51, evaluate chronic congestive heart failure ecg, chest x-ray, nyha classification.
238
302
Echo performed at 51 for cardiac assessment; medication reconciliation completed; patient on Lasix, Carvedilol, Losartan.
1968-06-12
Georgene966
2020-03-18
2020-03-18
6
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
910.9
728.71
88,805,009
Chronic congestive heart failure (disorder)
51
LVEF 38.3 %, BloodGlucose 78.3 mg/dL, BloodBUN 13.4 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 141.0 mmol/L, BloodK 4.1 mmol/L, BloodChloride 102.1 mmol/L, TotalCO2Blood 27.4 mmol/L
null
Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab
Echo, Med rec
echo perform 51 cardiac assessment; medication reconciliation completed; patient lasix, carvedilol, losartan.
239
313
At 52, received care involving oxygen therapy with mask and prone positioning; chest x-ray performed.
1968-06-12
Georgene966
2020-09-14
2020-09-14
6
emergency
185,347,001
Encounter for problem (procedure)
87.71
7,266.34
5,626.65
88,805,009
Chronic congestive heart failure (disorder)
52
SaO2 80.0 %, Weight 81.3 kg, NTproBNP 1151.0 pg/mL, AutoWBCCount 5.6 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 46.6 %, AutoMCV 82.9 fL, MCH 32.9 pg, MCHC 31.7 g/dL, RDW 12.9 %, PlateletCount 205.4 10*3/uL, SerumGlucose 72.7 mg/dL, SerumBUN 18.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 8.7 mg/...
null
null
O2 mask, Prone position, CXR
52, receive care involve oxygen therapy mask prone positioning; chest x-ray performed.
240
319
Admission to ICU at 52 with extensive cardiac monitoring, multiple doses of Lasix injection, oxygen therapy, and prone positioning.
1968-06-12
Georgene966
2020-09-14
2020-09-23
6
inpatient
305,351,004
Admission to intensive care unit (procedure)
146.18
14,574.33
11,659.24
88,805,009
Chronic congestive heart failure (disorder)
52
LVEF 36.8 %, SaO2 80.0 %, Weight 81.3 kg, NTproBNP 1130.1 pg/mL, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 5.7 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 41.6 %, AutoMCV 96.7 fL, MCH 31.1 pg, MCHC 31.6 g/dL, RDW 14.2 %, PlateletCount 254.5 10*3/uL, SerumGlucose 72.7 mg/dL, SerumBUN 18.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCa...
null
10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Las...
Med rec, ECG, Echo, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position
admission icu 52 extensive cardiac monitoring, multiple dose lasix injection, oxygen therapy, prone positioning.
241
339
"Patient passed away at age 52; death certification completed."
1968-06-12
Georgene966
2020-10-07
2020-10-07
6
wellness
308,646,001
Death Certification
136.8
211.38
169.1
88,805,009
Chronic congestive heart failure (disorder)
52
DeathCause Chronic congestive heart failure (disorder) nan
null
null
null
"patient pass away age 52; death certification completed."
242
220
General examination completed at age 18 with no procedures or medications. Patient reported as a high school student.
1950-04-15
Micheal721
1968-06-08
1968-06-08
7
wellness
162,673,000
General examination of patient (procedure)
136.8
704.2
554.2
null
null
18
null
HS education
null
null
general examination complete age 18 procedures medications. patient report high school student.
243
221
At age 26, patient presented with dental issues including tooth loss, no procedures or medications recorded.
1950-04-15
Micheal721
1976-07-24
1976-07-24
7
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
1,379.75
1,329.75
37,320,007
Loss of teeth (disorder)
26
null
Tooth loss
null
null
age 26, patient present dental issue include tooth loss, procedures medications recorded.
244
223
General exam at age 31 revealed obesity (BMI>30) and limited social contact noted; no procedures or medications provided.
1950-04-15
Micheal721
1981-06-27
1981-06-27
7
wellness
162,673,000
General examination of patient (procedure)
136.8
994.48
844.48
null
null
31
null
Obesity BMI>30, Limited social contact
null
null
general exam age 31 reveal obesity (bmi>30) limit social contact noted; procedures medications provided.
245
226
Check-up at age 31 indicated medication review was due; patient is full-time employed.
1950-04-15
Micheal721
1982-03-27
1982-03-27
7
outpatient
185,349,003
Encounter for check up (procedure)
85.55
652.95
602.95
null
null
31
null
Med review due, Full-time employed
null
null
check-up age 31 indicate medication review due; patient full-time employed.
246
227
Assessment at age 34 identified prediabetes and anemia; no procedures or medications given.
1950-04-15
Micheal721
1984-06-30
1984-06-30
7
wellness
162,673,000
General examination of patient (procedure)
136.8
998.38
848.38
null
null
34
null
Prediabetes, Anemia
null
null
assessment age 34 identify prediabetes anemia; procedures medications given.
247
228
Problem encounter at age 34 with administration of Vitamin B12 5mg/ml injection solution.
1950-04-15
Micheal721
1984-07-07
1984-07-07
7
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
1,092.84
1,042.84
271,737,000
Anemia (disorder)
34
null
null
Vit B12 5mg/ml inj soln
null
problem encounter age 34 administration vitamin b12 5mg/ml injection solution.
248
229
Emergency visit at age 40 due to chronic migraine; no documented procedures or medications given.
1950-04-15
Micheal721
1990-05-11
1990-05-11
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
40
null
Chronic migraine
null
null
emergency visit age 40 due chronic migraine; document procedures medications given.
249
230
Emergency hospital admission at age 40 for chronic pain; no procedures or medications recorded.
1950-04-15
Micheal721
1990-07-17
1990-07-17
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
40
null
Chronic pain
null
null
emergency hospital admission age 40 chronic pain; procedures medications recorded.
250
231
Encounter at age 40 for knee osteoarthritis, treated with Naproxen sodium 220mg tablets.
1950-04-15
Micheal721
1990-09-05
1990-09-05
7
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
85.55
35.55
239,873,007
Osteoarthritis of knee (disorder)
40
null
Knee OA
Naproxen Na 220mg tab
null
encounter age 40 knee osteoarthritis, treat naproxen sodium 220mg tablets.
251
233
Emergency dental treatment for impacted molars at age 40; no medications documented.
1950-04-15
Micheal721
1990-10-13
1990-10-13
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
20,365.4
20,315.4
196,416,002
Impacted molars (disorder)
40
null
Impacted molars
null
null
emergency dental treatment impact molars age 40; medications documented.
252
234
General exam at age 42 highlighted social isolation; no procedures or medications reported.
1950-04-15
Micheal721
1992-04-25
1992-04-25
7
wellness
162,673,000
General examination of patient (procedure)
136.8
996.16
846.16
null
null
42
null
Social isolation
null
null
general exam age 42 highlight social isolation; procedures medications reported.
253
235
Hospital admission at age 42 with administration of extended release oxycodone 15mg every 12 hours for pain management.
1950-04-15
Micheal721
1992-07-14
1992-07-14
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
42
PainScore 6.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
hospital admission age 42 administration extend release oxycodone 15mg every 12 hours pain management.
254
236
Second emergency admission at age 42 continuing oxycodone 15mg ER every 12 hours.
1950-04-15
Micheal721
1992-10-03
1992-10-03
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
42
PainScore 9.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
second emergency admission age 42 continue oxycodone 15mg er every 12 hours.
255
237
Emergency treatment at age 42 included acetaminophen 325mg/oxycodone 5mg tablets.
1950-04-15
Micheal721
1992-11-16
1992-11-16
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
42
PainScore 7.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergency treatment age 42 include acetaminophen 325mg/oxycodone 5mg tablets.
256
238
Another hospital admission at age 42 continuing pain management with extended release oxycodone.
1950-04-15
Micheal721
1992-12-30
1992-12-30
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
42
PainScore 7.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
another hospital admission age 42 continue pain management extend release oxycodone.
257
239
Emergency treatment involved wisdom tooth extraction at 42 with APAP 300mg/hydrocodone 5mg tablets for pain.
1950-04-15
Micheal721
1993-02-26
1993-02-26
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
8,919.36
8,869.36
196,416,002
Impacted molars (disorder)
42
PainScore 4.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency treatment involve wisdom tooth extraction 42 apap 300mg/hydrocodone 5mg tablets pain.
258
240
Emergent care at 43 included acetaminophen/oxycodone combination tablets for pain relief.
1950-04-15
Micheal721
1993-07-17
1993-07-17
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
0
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
43
PainScore 5.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergent care 43 include acetaminophen/oxycodone combination tablets pain relief.
259
241
Second wisdom tooth extraction at age 43 with opioid analgesics post-procedure.
1950-04-15
Micheal721
1994-02-10
1994-02-10
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,254.32
196,416,002
Impacted molars (disorder)
43
PainScore 6.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
second wisdom tooth extraction age 43 opioid analgesics post-procedure.
260
242
Comprehensive exam at 44 including medication reconciliation, social and mental health assessments. Stress noted.
1950-04-15
Micheal721
1994-04-30
1994-04-30
7
wellness
162,673,000
General examination of patient (procedure)
136.8
1,104.93
954.93
null
null
44
HbA1c 6.1 %, Height 193.3 cm, PainScore 3.0 {score}, Weight 108.5 kg, BMI 29.1 kg/m2, DBP 60.0 mm[Hg], SBP 131.0 mm[Hg], HR 77.0 /min, RR 14.0 /min, BloodGlucose 97.8 mg/dL, BloodBUN 9.0 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 136.7 mmol/L, BloodK 5.0 mmol/L, BloodChloride 102.7 mmol/L, TotalC...
Stress
null
Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral
comprehensive exam 44 include medication reconciliation, social mental health assessments. stress noted.
261
245
Dental check-up at 44 included multiple procedures relating to gum disease, fluoride gel prescribed.
1950-04-15
Micheal721
1994-05-14
1994-05-14
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
5,262.35
5,212.35
103,697,008
Patient referral for dental care (procedure)
44
null
Gum disease
NaF 2.72% oral gel
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed
dental check-up 44 include multiple procedures relate gum disease, fluoride gel prescribed.
262
246
Emergency wisdom tooth extraction at 44 with APAP 300mg/hydrocodone 5mg tablets.
1950-04-15
Micheal721
1994-07-01
1994-07-01
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,258.14
196,416,002
Impacted molars (disorder)
44
PainScore 6.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency wisdom tooth extraction 44 apap 300mg/hydrocodone 5mg tablets.
263
248
Repeat emergency wisdom tooth extraction at 44 with opioid pain management.
1950-04-15
Micheal721
1994-09-27
1994-09-27
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,258.14
196,416,002
Impacted molars (disorder)
44
PainScore 5.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
repeat emergency wisdom tooth extraction 44 opioid pain management.
264
249
Another wisdom tooth extraction emergency at 44 with pain medications.
1950-04-15
Micheal721
1995-04-05
1995-04-05
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,258.14
196,416,002
Impacted molars (disorder)
44
PainScore 8.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
another wisdom tooth extraction emergency 44 pain medications.
265
250
At 45, emergency treatment involved wisdom tooth extraction with appropriate analgesia.
1950-04-15
Micheal721
1995-05-12
1995-05-12
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
15,722.36
15,572.36
196,416,002
Impacted molars (disorder)
45
PainScore 7.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
45, emergency treatment involve wisdom tooth extraction appropriate analgesia.
266
251
Hospital admission at 45 with ongoing pain management using extended-release oxycodone.
1950-04-15
Micheal721
1995-06-30
1995-06-30
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
45
PainScore 6.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
hospital admission 45 ongoing pain management use extended-release oxycodone.
267
254
At 45, patient presented with strep throat; throat culture performed and treated with Penicillin VK 500mg tablets.
1950-04-15
Micheal721
1995-07-13
1995-07-13
7
ambulatory
185,345,009
Encounter for symptom (procedure)
85.55
3,536.75
3,486.75
43,878,008
Streptococcal sore throat (disorder)
45
BodyTemp 37.8 Cel
Strep throat
PCN VK 500mg tab
Throat culture
45, patient present strep throat; throat culture perform treat penicillin vk 500mg tablets.
268
255
Emergency hospital admission at 45 with continuation of extended-release oxycodone.
1950-04-15
Micheal721
1995-09-19
1995-09-19
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
45
PainScore 6.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
emergency hospital admission 45 continuation extended-release oxycodone.
269
256
Emergency wisdom tooth extraction at 45 with pain control meds.
1950-04-15
Micheal721
1995-12-14
1995-12-14
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
20,794.05
20,744.05
196,416,002
Impacted molars (disorder)
45
PainScore 8.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency wisdom tooth extraction 45 pain control meds.
270
257
ER admission at 45 for wrist sprain treated with ibuprofen 200mg tablets.
1950-04-15
Micheal721
1996-03-07
1996-03-07
7
emergency
50,849,002
Emergency room admission (procedure)
146.18
146.18
96.18
384,709,000
Sprain (morphologic abnormality)
45
null
Sprain, Wrist sprain
Ibuprofen 200mg tab
null
er admission 45 wrist sprain treat ibuprofen 200mg tablets.
271
258
Emergency treatment providing acetaminophen/oxycodone combination tablets.
1950-04-15
Micheal721
1996-03-20
1996-03-20
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
45
PainScore 8.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergency treatment provide acetaminophen/oxycodone combination tablets.
272
259
General examination at 46 with medications including Lisinopril for hypertension, dental referral for gingivitis, social and substance use assessments.
1950-04-15
Micheal721
1996-05-04
1996-05-04
7
wellness
162,673,000
General examination of patient (procedure)
136.8
1,150.44
1,000.44
null
null
46
HbA1c 6.2 %, Height 193.3 cm, PainScore 0.0 {score}, Weight 113.6 kg, BMI 30.4 kg/m2, DBP 96.0 mm[Hg], SBP 153.0 mm[Hg], HR 76.0 /min, RR 14.0 /min, BloodGlucose 96.3 mg/dL, BloodBUN 16.9 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 138.7 mmol/L, BloodK 4.7 mmol/L, BloodChloride 101.3 mmol/L, Tota...
HTN, Med review due, Part-time employed, Gingivitis
Lisinopril 10mg tab, Lisinopril 10mg tab
Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess, Dental referral
general examination 46 medications include lisinopril hypertension, dental referral gingivitis, social substance use assessments.
273
260
Wisdom tooth extraction at 46 with opioid analgesic use.
1950-04-15
Micheal721
1996-05-10
1996-05-10
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
15,814.22
15,764.22
196,416,002
Impacted molars (disorder)
46
PainScore 4.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
wisdom tooth extraction 46 opioid analgesic use.
274
261
Dental check-up at 46 with cleaning procedures and oral health education.
1950-04-15
Micheal721
1996-05-18
1996-05-18
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,105.35
3,055.35
66,383,009
Gingivitis (disorder)
46
null
null
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed
dental check-up 46 clean procedures oral health education.
275
263
Follow-up visit at 46 with introduction of hydrochlorothiazide 25mg tablets.
1950-04-15
Micheal721
1996-06-03
1996-06-03
7
ambulatory
390,906,007
Follow-up encounter (procedure)
85.55
85.55
35.55
59,621,000
Essential hypertension (disorder)
46
DBP 75.0 mm[Hg], SBP 133.0 mm[Hg]
null
HCTZ 25mg tab
null
follow-up visit 46 introduction hydrochlorothiazide 25mg tablets.
276
264
Repeat emergency wisdom tooth extraction with analgesics.
1950-04-15
Micheal721
1996-08-13
1996-08-13
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
9,690.62
9,640.62
196,416,002
Impacted molars (disorder)
46
PainScore 8.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
repeat emergency wisdom tooth extraction analgesics.
277
265
Another wisdom tooth extraction emergency at 46 with pain medication.
1950-04-15
Micheal721
1997-01-15
1997-01-15
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,258.14
196,416,002
Impacted molars (disorder)
46
PainScore 4.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
another wisdom tooth extraction emergency 46 pain medication.
278
266
At 46, emergency admission with rib fracture confirmed by chest x-ray and immobilization; acetaminophen 325mg used for pain.
1950-04-15
Micheal721
1997-02-26
1997-02-26
7
emergency
50,849,002
Emergency room admission (procedure)
146.18
10,124.64
10,074.64
125,605,004
Fracture of bone (disorder)
46
null
Bone fx, Rib fx
APAP 325mg tab
CXR, Bone immob
46, emergency admission rib fracture confirm chest x-ray immobilization; acetaminophen 325mg use pain.
279
267
Emergency treatment included wisdom tooth extraction with APAP/hydrocodone analgesics.
1950-04-15
Micheal721
1997-03-21
1997-03-21
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
20,794.05
20,744.05
196,416,002
Impacted molars (disorder)
46
PainScore 5.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency treatment include wisdom tooth extraction apap/hydrocodone analgesics.
280
268
Comprehensive exam at 47 included multiple health and social assessments, on meds HCTZ and lisinopril, gingivitis noted.
1950-04-15
Micheal721
1997-05-10
1997-05-10
7
wellness
162,673,000
General examination of patient (procedure)
136.8
1,002.59
852.59
null
null
47
HbA1c 6.3 %, Height 193.3 cm, PainScore 3.0 {score}, Weight 104.8 kg, BMI 28.1 kg/m2, DBP 72.0 mm[Hg], SBP 120.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 77.8 mg/dL, BloodBUN 12.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 105.7 mmol/L, Total...
Med review due, Gingivitis
HCTZ 25mg tab, Lisinopril 10mg tab
Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral
comprehensive exam 47 include multiple health social assessments, meds hctz lisinopril, gingivitis noted.
281
269
Wisdom tooth extraction emergency at 47 with pain medication.
1950-04-15
Micheal721
1997-05-11
1997-05-11
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
20,794.05
20,744.05
196,416,002
Impacted molars (disorder)
47
PainScore 4.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
wisdom tooth extraction emergency 47 pain medication.
282
270
Routine 47-year dental check with scaling and education.
1950-04-15
Micheal721
1997-05-24
1997-05-24
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,105.35
3,055.35
66,383,009
Gingivitis (disorder)
47
null
null
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed
routine 47-year dental check scale education.
283
271
General check-up at 47 with no specific procedures or medications.
1950-04-15
Micheal721
1997-05-31
1997-05-31
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
85.55
35.55
33,737,001
Fracture of rib (disorder)
47
null
null
null
null
general check-up 47 specific procedures medications.
284
272
Hospital admission at 47 involving extended release oxycodone for pain.
1950-04-15
Micheal721
1997-09-06
1997-09-06
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
47
PainScore 8.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
hospital admission 47 involve extend release oxycodone pain.
285
273
Emergency treatment providing acetaminophen/oxycodone tablets.
1950-04-15
Micheal721
1997-11-12
1997-11-12
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
47
PainScore 5.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergency treatment provide acetaminophen/oxycodone tablets.
286
274
Repeated hospital admission at 47 with oxycodone ER.
1950-04-15
Micheal721
1997-12-19
1997-12-19
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
47
PainScore 7.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
repeat hospital admission 47 oxycodone er.
287
275
Another emergency hospital admission at 47 with continuing strong pain management.
1950-04-15
Micheal721
1998-02-01
1998-02-01
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
47
PainScore 8.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
another emergency hospital admission 47 continue strong pain management.
288
277
General exam at 48 including multiple mental health and substance use assessments; patient full-time employed, meds continued.
1950-04-15
Micheal721
1998-05-16
1998-05-16
7
wellness
162,673,000
General examination of patient (procedure)
136.8
785.58
635.58
null
null
48
HbA1c 6.3 %, Height 193.3 cm, PainScore 4.0 {score}, Weight 106.8 kg, BMI 28.6 kg/m2, DBP 68.0 mm[Hg], SBP 122.0 mm[Hg], HR 84.0 /min, RR 13.0 /min, BloodGlucose 75.1 mg/dL, BloodBUN 11.7 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 141.5 mmol/L, BloodK 4.1 mmol/L, BloodChloride 104.6 mmol/L, Tota...
Med review due, Full-time employed
HCTZ 25mg tab, Lisinopril 10mg tab
Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral
general exam 48 include multiple mental health substance use assessments; patient full-time employed, meds continued.
289
287
Dental check-up at 48 with fluoride treatment and dental hygiene procedures.
1950-04-15
Micheal721
1998-05-30
1998-05-30
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
3,105.35
3,055.35
103,697,008
Patient referral for dental care (procedure)
48
null
null
NaF 2.72% oral gel
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed
dental check-up 48 fluoride treatment dental hygiene procedures.
290
291
Emergency treatment at 48 including acetaminophen/oxycodone tablets.
1950-04-15
Micheal721
1998-09-23
1998-09-23
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
48
PainScore 6.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergency treatment 48 include acetaminophen/oxycodone tablets.
291
293
Hospital admission with strong pain medication at 48.
1950-04-15
Micheal721
1998-11-13
1998-11-13
7
emergency
183,452,005
Emergency hospital admission (procedure)
87.71
87.71
37.71
82,423,001
Chronic pain (finding)
48
PainScore 8.0 {score}
null
AD 12hr Oxycodone 15mg ER tab
null
hospital admission strong pain medication 48.
292
295
Emergency wisdom tooth extraction at 49 with adequate pain control.
1950-04-15
Micheal721
1999-05-06
1999-05-06
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
5,308.14
5,158.14
196,416,002
Impacted molars (disorder)
49
PainScore 5.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency wisdom tooth extraction 49 adequate pain control.
293
296
Comprehensive exam at 49 including mental health and dental assessment; social isolation and stress noted.
1950-04-15
Micheal721
1999-05-22
1999-05-22
7
wellness
162,673,000
General examination of patient (procedure)
136.8
853.36
803.36
null
null
49
HbA1c 5.9 %, Height 193.3 cm, PainScore 1.0 {score}, Weight 109.1 kg, BMI 29.2 kg/m2, DBP 70.0 mm[Hg], SBP 123.0 mm[Hg], HR 93.0 /min, RR 15.0 /min, BloodGlucose 66.2 mg/dL, BloodBUN 12.2 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.5 mmol/L, BloodChloride 107.4 mmol/L, Tota...
Social isolation, Stress, Gingivitis
HCTZ 25mg tab, Lisinopril 10mg tab
Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral
comprehensive exam 49 include mental health dental assessment; social isolation stress noted.
294
299
At 49, extensive dental procedures performed for gum disease.
1950-04-15
Micheal721
1999-06-05
1999-06-05
7
ambulatory
185,349,003
Encounter for check up (procedure)
85.55
4,830.95
4,780.95
66,383,009
Gingivitis (disorder)
49
null
Gum disease
null
Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed
49, extensive dental procedures perform gum disease.
295
301
Emergency wisdom tooth extraction with pain medication at 49.
1950-04-15
Micheal721
1999-07-10
1999-07-10
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
20,794.05
20,744.05
196,416,002
Impacted molars (disorder)
49
PainScore 6.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
emergency wisdom tooth extraction pain medication 49.
296
304
Repeat emergency wisdom tooth extraction with analgesics.
1950-04-15
Micheal721
1999-08-16
1999-08-16
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
17,577.25
17,527.25
196,416,002
Impacted molars (disorder)
49
PainScore 7.0 {score}
null
APAP 300mg/Hydrocodone 5mg tab
Wisdom tooth ext
repeat emergency wisdom tooth extraction analgesics.
297
305
Dental consult with bitewing and impressions performed for dental prosthetics.
1950-04-15
Micheal721
1999-09-06
1999-09-06
7
ambulatory
185,347,001
Encounter for problem (procedure)
85.55
1,379.75
1,329.75
37,320,007
Loss of teeth (disorder)
49
null
null
null
Dental consult, Dental bitewing, Dental impression
dental consult bitewing impressions perform dental prosthetics.
298
306
Follow-up encounter for denture fitting at 49.
1950-04-15
Micheal721
1999-09-20
1999-09-21
7
ambulatory
390,906,007
Follow-up encounter (procedure)
85.55
516.95
466.95
37,320,007
Loss of teeth (disorder)
49
null
null
null
Denture fitting
follow-up encounter denture fit 49.
299
307
Emergency treatment for pain with acetaminophen/oxycodone tablets.
1950-04-15
Micheal721
2000-01-04
2000-01-04
7
emergency
182,813,001
Emergency treatment (procedure)
146.18
146.18
96.18
124,171,000,119,105
Chronic intractable migraine without aura (disorder)
49
PainScore 5.0 {score}
null
APAP 325mg/Oxycodone 5mg tab
null
emergency treatment pain acetaminophen/oxycodone tablets.