index,ENCOUNTER_ID,CLINICAL_NOTES,BIRTHDATE,FIRST,START,STOP,PATIENT_ID,ENCOUNTERCLASS,CODE,DESCRIPTION,BASE_ENCOUNTER_COST,TOTAL_CLAIM_COST,PAYER_COVERAGE,REASONCODE,REASONDESCRIPTION,PATIENT_AGE,DESCRIPTION_OBSERVATIONS,DESCRIPTION_CONDITIONS,DESCRIPTION_MEDICATIONS,DESCRIPTION_PROCEDURES
0,0,Well child visit at age 3 including medication reconciliation. Med review due to assess current medications and overall health.,2019-12-03,Kareem959,2019-12-03,2019-12-03,0,wellness,410620009,Well child visit (procedure),136.8,1044.65,0.0,,,3,"Height 52.0 cm, PainScore 3.0 {score}, Weight 3.4 kg, WtForLength 6.1 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 35.4 cm, DBP 75.0 mm[Hg], SBP 114.0 mm[Hg], HR 99.0 /min, RR 15.0 /min, AutoWBCCount 7.8 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 17.5 g/dL, AutoHct 37.8 %, AutoMCV 83.4 fL, MCH 27.4 pg, MCHC 33.0 g/dL, RDWv 43.1 fL, PlateletCount 312.9 10*3/uL, PDW 178.4 fL, MPV 10.9 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1,1,Follow-up well child visit with medication reconciliation performed. Continued monitoring required; med review is due.,2019-12-03,Kareem959,2020-01-07,2020-01-07,0,wellness,410620009,Well child visit (procedure),136.8,488.5,0.0,,,3,"Height 55.9 cm, PainScore 1.0 {score}, Weight 4.3 kg, WtForLength 4.2 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 38.9 cm, DBP 64.0 mm[Hg], SBP 119.0 mm[Hg], HR 71.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
2,2,Routine well child visit; med review remains due for updated medication and health status assessment.,2019-12-03,Kareem959,2020-03-10,2020-03-10,0,wellness,410620009,Well child visit (procedure),136.8,816.8,0.0,,,3,"Height 61.4 cm, PainScore 0.0 {score}, Weight 5.7 kg, WtForLength 11.2 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 41.5 cm, DBP 68.0 mm[Hg], SBP 117.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
3,3,Standard well child visit completed with no specific procedures or medication changes reported.,2019-12-03,Kareem959,2020-05-12,2020-05-12,0,wellness,410620009,Well child visit (procedure),136.8,816.8,0.0,,,3,"Height 65.4 cm, PainScore 2.0 {score}, Weight 6.8 kg, WtForLength 17.8 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 43.1 cm, DBP 75.0 mm[Hg], SBP 110.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
4,4,Well child visit with medication reconciliation; patient remains stable without active conditions.,2019-12-03,Kareem959,2020-08-11,2020-08-11,0,wellness,410620009,Well child visit (procedure),136.8,1340.17,0.0,,,3,"Height 70.2 cm, PainScore 4.0 {score}, Weight 8.2 kg, WtForLength 29.4 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 44.8 cm, DBP 74.0 mm[Hg], SBP 112.0 mm[Hg], HR 69.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
5,5,Well child visit focusing on medication reconciliation; med review is indicated to ensure up-to-date management.,2019-12-03,Kareem959,2020-11-10,2020-11-10,0,wellness,410620009,Well child visit (procedure),136.8,805.97,0.0,,,3,"Height 74.1 cm, PainScore 0.0 {score}, Weight 9.2 kg, WtForLength 33.4 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 45.9 cm, DBP 74.0 mm[Hg], SBP 111.0 mm[Hg], HR 90.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
6,6,"Routine well child visit, with med review still pending to evaluate any ongoing medication needs.",2019-12-03,Kareem959,2021-02-09,2021-02-09,0,wellness,410620009,Well child visit (procedure),136.8,816.8,0.0,,,3,"Height 77.5 cm, PainScore 0.0 {score}, Weight 9.9 kg, WtForLength 24.2 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 46.8 cm, DBP 76.0 mm[Hg], SBP 116.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
7,7,"Well child visit including medication reconciliation, no new issues identified.",2019-12-03,Kareem959,2021-05-11,2021-05-11,0,wellness,410620009,Well child visit (procedure),136.8,488.5,0.0,,,3,"Height 80.6 cm, PainScore 3.0 {score}, Weight 10.5 kg, WtForLength 22.2 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 47.4 cm, DBP 76.0 mm[Hg], SBP 109.0 mm[Hg], HR 78.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
8,8,Regular well child examination completed; medication review remains due.,2019-12-03,Kareem959,2021-11-09,2021-11-09,0,wellness,410620009,Well child visit (procedure),136.8,272.8,0.0,,,3,"Height 85.9 cm, PainScore 2.0 {score}, Weight 11.4 kg, WtForLength 16.7 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 48.3 cm, DBP 76.0 mm[Hg], SBP 117.0 mm[Hg], HR 75.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
9,9,Well child visit with a dental referral issued for further oral health evaluation.,2019-12-03,Kareem959,2022-05-10,2022-05-10,0,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,3,"Height 89.6 cm, PainScore 0.0 {score}, Weight 12.3 kg, WtForLength 18.1 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 48.9 cm, BMI 15.3 kg/m2, BMIPercentile 18.9 %, DBP 69.0 mm[Hg], SBP 111.0 mm[Hg], HR 69.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Dental referral
10,10,"Comprehensive dental checkup performed including scaling, bitewing x-rays, gingival examination, and oral health education.",2019-12-03,Kareem959,2022-05-17,2022-05-17,0,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),3,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
11,11,Well child visit with additional dental referral to monitor oral health progress.,2019-12-03,Kareem959,2022-11-08,2022-11-08,0,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,3,"Height 93.6 cm, PainScore 4.0 {score}, Weight 13.1 kg, WtForLength 15.9 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 49.3 cm, BMI 15.0 kg/m2, BMIPercentile 16.4 %, DBP 66.0 mm[Hg], SBP 111.0 mm[Hg], HR 67.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Dental referral
12,12,"Dental checkup performed with scaling, bitewing x-rays, fluoride treatment (NaF 2.72% oral gel), gingival exam, and oral health education.",2019-12-03,Kareem959,2022-11-15,2022-11-15,0,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,1251.86,103697008.0,Patient referral for dental care (procedure),3,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
13,13,Routine well child visit without notable procedures or changes.,2019-12-03,Kareem959,2023-05-09,2023-05-09,0,wellness,410620009,Well child visit (procedure),136.8,136.8,0.0,,,3,"Height 97.3 cm, PainScore 1.0 {score}, Weight 14.0 kg, WtForLength 21.5 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 49.3 cm, BMI 14.8 kg/m2, BMIPercentile 15.3 %, DBP 76.0 mm[Hg], SBP 117.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
14,14,Another routine well child visit indicating stable health and no new issues.,2019-12-03,Kareem959,2023-11-07,2023-11-07,0,wellness,410620009,Well child visit (procedure),136.8,272.8,0.0,,,3,"Height 100.8 cm, PainScore 1.0 {score}, Weight 14.8 kg, WtForLength 21.5 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 49.3 cm, BMI 14.6 kg/m2, BMIPercentile 14.8 %, DBP 70.0 mm[Hg], SBP 122.0 mm[Hg], HR 97.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
15,15,Encounter at age 4 for symptom evaluation; diagnosed with viral sinusitis. Symptomatic treatment advised.,2019-12-03,Kareem959,2024-01-17,2024-01-18,0,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),4,,Viral sinusitis,,
16,16,Well child visit with dental referral to maintain oral health follow-up.,2019-12-03,Kareem959,2024-11-12,2024-11-12,0,wellness,410620009,Well child visit (procedure),136.8,1248.2,0.0,,,4,"Height 107.3 cm, PainScore 2.0 {score}, Weight 17.5 kg, BMI 15.2 kg/m2, BMIPercentile 43.0 %, DBP 69.0 mm[Hg], SBP 121.0 mm[Hg], HR 72.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Dental referral
17,17,"Dental checkup with cleaning, gingival exam, and oral health education performed at age 4.",2019-12-03,Kareem959,2024-11-19,2024-11-19,0,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,103697008.0,Patient referral for dental care (procedure),4,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
18,18,Well child visit conducted at age 7. No procedures or medications recorded. Med review due to ensure current medications are up to date.,2006-05-26,Dante562,2014-05-23,2014-05-23,1,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,7,,Med review due,,
19,19,"At age 9, well child visit included medication reconciliation and a dental referral due to gingivitis diagnosis. No medications prescribed.",2006-05-26,Dante562,2015-05-29,2015-05-29,1,wellness,410620009,Well child visit (procedure),136.8,953.11,0.0,,,9,"Height 130.3 cm, PainScore 1.0 {score}, Weight 34.7 kg, BMI 20.4 kg/m2, BMIPercentile 93.5 %, DBP 87.0 mm[Hg], SBP 118.0 mm[Hg], HR 100.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Dental referral"
20,20,"Dental check-up and treatment performed at age 9. Procedures included dental consult, scaling, gingival exam, fluoride application and oral health education. Sodium fluoride 2.72% oral gel prescribed.",2006-05-26,Dante562,2015-06-05,2015-06-06,1,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),9,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
21,21,Routine well child visit at age 10 with medication reconciliation and dental referral. Med review advised.,2006-05-26,Dante562,2016-06-03,2016-06-03,1,wellness,410620009,Well child visit (procedure),136.8,1152.67,0.0,,,10,"Height 135.2 cm, PainScore 3.0 {score}, Weight 38.4 kg, BMI 21.0 kg/m2, BMIPercentile 92.4 %, DBP 83.0 mm[Hg], SBP 118.0 mm[Hg], HR 70.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Dental referral"
22,22,"At age 10, patient received dental care including consult, scaling, gingival exam, fluoride application, and oral health education. Sodium fluoride 2.72% oral gel used.",2006-05-26,Dante562,2016-06-10,2016-06-11,1,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),10,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
23,23,Well child visit at age 11. No procedures or medications documented. Medication review due.,2006-05-26,Dante562,2017-06-09,2017-06-09,1,wellness,410620009,Well child visit (procedure),136.8,755.38,0.0,,,11,"Height 139.9 cm, PainScore 3.0 {score}, Weight 43.3 kg, BMI 22.1 kg/m2, BMIPercentile 92.8 %, DBP 83.0 mm[Hg], SBP 128.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, AutoWBCCount 7.7 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 15.4 g/dL, AutoHct 41.2 %, AutoMCV 87.6 fL, MCH 30.1 pg, MCHC 34.1 g/dL, RDWv 41.9 fL, PlateletCount 431.1 10*3/uL, PDW 224.5 fL, MPV 12.1 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
24,24,Emergency admission at age 11 for knee injury diagnosed as patellar tendon rupture. Knee X-ray performed. Acetaminophen 160mg chewable tablets prescribed for pain management.,2006-05-26,Dante562,2017-07-17,2017-07-17,1,emergency,50849002,Emergency room admission (procedure),146.18,577.58,0.0,125601008.0,Injury of knee (disorder),11,,"Knee injury, Patellar tendon rupture",APAP 160mg chew tab,Knee XR
25,25,Orthopedic admission for knee manipulation and postoperative care at age 11 following tendon injury.,2006-05-26,Dante562,2017-07-24,2017-07-26,1,inpatient,183495009,Non-urgent orthopedic admission (procedure),146.18,18246.94,8119.06,30832001.0,Rupture of patellar tendon (disorder),11,,,,"Knee manip, Postop care"
26,26,"Comprehensive hospital admission at age 11 including history and physical, assessments, individualized care plan, intensive nursing care, physical therapy, occupational therapy, speech therapy, ancillary services, and discharge planning.",2006-05-26,Dante562,2017-07-26,2017-08-14,1,snf,32485007,Hospital admission (procedure),110.92,14778.52,14778.52,25675004.0,Patient transfer to skilled nursing facility (procedure),11,,,,"H&P, Initial assess, Indiv care plan, Nursing care, PT, Nursing care, PT, OT, Nursing care, Nursing care, Ancillary services, Nursing care, Ancillary services, Nursing care, Speech therapy, Nursing care, Ancillary services, Nursing care, Ancillary services, Nursing care, Nursing care, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, OT, Nursing care, Nursing care, Pre-d/c assess, Hosp d/c"
27,27,"Well child visit at age 12 included medication reconciliation, mental health screenings (anxiety, depression, substance use), anticipatory guidance, and dental referral for gingivitis.",2006-05-26,Dante562,2018-06-15,2018-06-15,1,wellness,410620009,Well child visit (procedure),136.8,1407.2,0.0,,,12,"Height 145.2 cm, PainScore 2.0 {score}, Weight 53.1 kg, BMI 25.2 kg/m2, BMIPercentile 96.2 %, DBP 83.0 mm[Hg], SBP 123.0 mm[Hg], HR 67.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
28,28,"Dental check-up at age 12 noted dental caries. Procedures included dental consult, scaling, bitewing x-rays, gingival exam, full cusp coverage restoration, and oral health education.",2006-05-26,Dante562,2018-06-29,2018-06-30,1,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,66383009.0,Gingivitis (disorder),12,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed"
29,29,"At age 13, well child visit focused on mental health screenings and health risk education. Medications reviewed and counseling regarding risk behaviors provided.",2006-05-26,Dante562,2019-06-21,2019-06-21,1,wellness,410620009,Well child visit (procedure),136.8,840.2,0.0,,,13,"Height 152.1 cm, PainScore 0.0 {score}, Weight 57.0 kg, BMI 24.6 kg/m2, BMIPercentile 94.1 %, DBP 84.0 mm[Hg], SBP 125.0 mm[Hg], HR 84.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Risk behaviors",,"Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed"
30,30,"Routine adolescent visit at age 14 with medication reconciliation, depression screening, substance use assessment, and anticipatory guidance.",2006-05-26,Dante562,2020-06-26,2020-06-26,1,wellness,410620009,Well child visit (procedure),136.8,1240.24,0.0,,,14,"Height 160.2 cm, PainScore 0.0 {score}, Weight 63.1 kg, BMI 24.6 kg/m2, BMIPercentile 91.9 %, DBP 78.0 mm[Hg], SBP 128.0 mm[Hg], HR 73.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide"
31,31,Vaccination administered at age 15 to produce active immunity. No additional details provided.,2006-05-26,Dante562,2021-06-04,2021-06-04,1,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,15,,,,
32,32,Second vaccination administered at age 15.,2006-05-26,Dante562,2021-06-25,2021-06-25,1,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,15,,,,
33,33,"Well child visit at 15 included medication reconciliation, mental health screening, substance use assessment, anticipatory guidance, and med review due.",2006-05-26,Dante562,2021-07-02,2021-07-02,1,wellness,410620009,Well child visit (procedure),136.8,966.31,0.0,,,15,"Height 166.1 cm, PainScore 3.0 {score}, Weight 70.5 kg, BMI 25.6 kg/m2, BMIPercentile 92.4 %, DBP 84.0 mm[Hg], SBP 129.0 mm[Hg], HR 88.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide"
34,34,"At age 16, well child visit with med reconciliation, mental health and substance use assessments, anticipatory guidance, dental referral, and med review due.",2006-05-26,Dante562,2022-07-08,2022-07-08,1,wellness,410620009,Well child visit (procedure),136.8,1217.19,0.0,,,16,"Height 169.6 cm, PainScore 3.0 {score}, Weight 76.5 kg, BMI 26.6 kg/m2, BMIPercentile 93.1 %, DBP 82.0 mm[Hg], SBP 126.0 mm[Hg], HR 84.0 /min, RR 14.0 /min, AutoWBCCount 7.9 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 16.5 g/dL, AutoHct 37.4 %, AutoMCV 81.3 fL, MCH 27.3 pg, MCHC 35.5 g/dL, RDWv 45.0 fL, PlateletCount 313.0 10*3/uL, PDW 386.9 fL, MPV 10.1 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
35,35,"Dental check-up at age 16 with consult, scaling, gingival exam, and oral health education.",2006-05-26,Dante562,2022-07-22,2022-07-23,1,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,103697008.0,Patient referral for dental care (procedure),16,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
36,36,"At age 17, well child visit included medication reconciliation and mental health screening. Med review due.",2006-05-26,Dante562,2023-07-14,2023-07-14,1,wellness,410620009,Well child visit (procedure),136.8,1567.0,0.0,,,17,"Height 171.4 cm, PainScore 3.0 {score}, Weight 81.2 kg, BMI 27.6 kg/m2, BMIPercentile 93.8 %, DBP 87.0 mm[Hg], SBP 121.0 mm[Hg], HR 66.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen"
37,37,Encounter for chronic pain and chronic low back pain at age 18. Pain managed with acetaminophen 300mg/hydrocodone 5mg tablets.,2006-05-26,Dante562,2024-06-30,2024-06-30,1,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),18,DrugScreen Negative (qualifier value) nan,"Chronic pain, Chronic LBP",APAP 300mg/Hydrocodone 5mg tab,
38,38,"Comprehensive general exam at 18 including multiple depression screenings, social needs assessment, substance use and AUDIT-C screening, dental referral. Patient receiving APAP/Hydrocodone for pain. Med review due. Patient noted to be in higher education, employed full-time, experiences stress, no transportation, and has gingivitis.",2006-05-26,Dante562,2024-07-19,2024-07-19,1,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,"Height 172.3 cm, PainScore 1.0 {score}, Weight 85.2 kg, BMI 28.7 kg/m2, BMIPercentile 94.5 %, DBP 82.0 mm[Hg], SBP 126.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Higher ed, Full-time employed, No transport, Stress, Gingivitis",APAP 300mg/Hydrocodone 5mg tab,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
39,39,"At age 18, dental visit included extensive procedures such as dental surgery, gingivectomy, postop care along with scaling, exam, desensitizing, and oral health education due to gum disease.",2006-05-26,Dante562,2024-08-02,2024-08-03,1,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,0.0,66383009.0,Gingivitis (disorder),18,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
40,40,"Follow-up encounter at 18 for pain management, patient prescribed 12-hour extended-release hydrocodone 10mg capsules.",2006-05-26,Dante562,2024-08-28,2024-08-28,1,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),18,,,12hr Hydrocodone 10mg ER cap,
41,41,"General exam conducted for 18-year-old patient. No procedures, medications, or conditions recorded. Patient currently in high school education.",1989-02-12,Mitchel812,2007-04-09,2007-04-09,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,HS education,,
42,42,"At age 22, general examination reveals patient experiencing stress. No specific procedures or medications given.",1989-02-12,Mitchel812,2011-04-18,2011-04-18,2,wellness,162673000,General examination of patient (procedure),136.8,1547.58,0.0,,,22,,Stress,,
43,43,"Patient presents with chronic pain, specifically chronic low back pain (LBP). No medications or procedures documented during this encounter.",1989-02-12,Mitchel812,2014-02-05,2014-02-05,2,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),24,,"Chronic pain, Chronic LBP",,
44,44,Routine general exam at age 25 with recommendation for medication review due to ongoing care needs.,1989-02-12,Mitchel812,2014-02-17,2014-02-17,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,25,,Med review due,,
45,45,Follow-up visit at age 25 with prescription for APAP 300mg/Hydrocodone 5mg tablets for pain management.,1989-02-12,Mitchel812,2014-03-31,2014-03-31,2,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),25,,,APAP 300mg/Hydrocodone 5mg tab,
46,46,General exam reveals part-time employment status with history of intimate partner violence (IPV) and drug misuse. Pain managed with Tylenol and Ibuprofen.,1989-02-12,Mitchel812,2015-02-23,2015-02-23,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,26,,"Part-time employed, IPV, Drug misuse","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)",
47,47,Comprehensive health assessment including mental health and dental evaluation. Patient now full-time employed but showing limited social contact and gingivitis; medication includes Tylenol and Ibuprofen.,1989-02-12,Mitchel812,2016-02-29,2016-02-29,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,27,"Height 188.5 cm, PainScore 3.0 {score}, Weight 84.8 kg, BMI 23.9 kg/m2, DBP 80.0 mm[Hg], SBP 140.0 mm[Hg], HR 87.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Limited social contact, Gingivitis","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Depression screen, Depression screen, Dental referral"
48,48,"Dental check-up included consult, scaling above and below gums, gingival exam, and oral health education.",1989-02-12,Mitchel812,2016-03-14,2016-03-14,2,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,66383009.0,Gingivitis (disorder),27,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
49,49,"Assessment addressing health, anxiety, and depression status. Patient not in workforce and experiencing stress. Medication continued for pain.",1989-02-12,Mitchel812,2017-03-06,2017-03-06,2,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,28,"Height 188.5 cm, PainScore 2.0 {score}, Weight 86.6 kg, BMI 24.4 kg/m2, DBP 84.0 mm[Hg], SBP 130.0 mm[Hg], HR 75.0 /min, RR 15.0 /min, AutoWBCCount 10.3 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 16.5 g/dL, AutoHct 46.2 %, AutoMCV 91.8 fL, MCH 31.3 pg, MCHC 34.3 g/dL, RDWv 39.2 fL, PlateletCount 393.1 10*3/uL, PDW 310.8 fL, MPV 9.6 fL, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Stress","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
50,50,Comprehensive screening including domestic abuse and substance use. Patient maintained on Tylenol and Ibuprofen.,1989-02-12,Mitchel812,2018-03-12,2018-03-12,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,29,"Height 188.5 cm, PainScore 2.0 {score}, Weight 88.5 kg, BMI 24.9 kg/m2, DBP 86.0 mm[Hg], SBP 129.0 mm[Hg], HR 98.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
51,51,Presenting symptom includes viral sinusitis with no specific procedures or medications documented.,1989-02-12,Mitchel812,2018-10-12,2018-10-12,2,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),29,,Viral sinusitis,,
52,52,Medication reconciliation and screening performed. Patient full-time employed with ongoing gingivitis; continues pain medication.,1989-02-12,Mitchel812,2019-03-18,2019-03-18,2,wellness,162673000,General examination of patient (procedure),136.8,994.48,0.0,,,30,"Height 188.5 cm, PainScore 1.0 {score}, Weight 89.7 kg, BMI 25.3 kg/m2, DBP 81.0 mm[Hg], SBP 138.0 mm[Hg], HR 81.0 /min, RR 15.0 /min, TotalCholesterol 232.2 mg/dL, HDL 55.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Gingivitis","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Med rec, Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
53,53,Extensive dental procedures conducted including surgery and gingivectomy for treatment of gum disease.,1989-02-12,Mitchel812,2019-04-01,2019-04-01,2,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,0.0,66383009.0,Gingivitis (disorder),30,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
54,54,"Patient assessed for health and substance use, dental referral issued. Medication review recommended.",1989-02-12,Mitchel812,2020-03-23,2020-03-23,2,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,31,"Height 188.5 cm, PainScore 1.0 {score}, Weight 91.7 kg, BMI 25.8 kg/m2, DBP 81.0 mm[Hg], SBP 141.0 mm[Hg], HR 78.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
55,55,Routine dental maintenance with examinations and scaling.,1989-02-12,Mitchel812,2020-04-06,2020-04-06,2,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),31,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
56,56,Patient presents with sinusitis symptoms with no procedures or medications documented during this visit.,1989-02-12,Mitchel812,2020-11-20,2020-11-20,2,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,36971009.0,Sinusitis (disorder),31,,Sinusitis,,
57,57,General exam includes health and substance use assessments. Medication continued.,1989-02-12,Mitchel812,2021-03-29,2021-03-29,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,32,"Height 188.5 cm, PainScore 2.0 {score}, Weight 93.2 kg, BMI 26.2 kg/m2, DBP 82.0 mm[Hg], SBP 130.0 mm[Hg], HR 87.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess"
58,58,Urgent care visit with multiple health and dental screenings performed. Patient experiencing stress and gingivitis.,1989-02-12,Mitchel812,2021-08-09,2021-08-09,2,urgentcare,702927004,Urgent care clinic (environment),142.58,573.98,0.0,,,32,"Height 188.5 cm, PainScore 4.0 {score}, Weight 93.2 kg, BMI 26.2 kg/m2, DBP 85.0 mm[Hg], SBP 128.0 mm[Hg], HR 92.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Stress, Gingivitis","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral"
59,59,Medication reconciliation completed during routine check-up. Patient continues on pain medications.,1989-02-12,Mitchel812,2021-08-16,2021-08-16,2,outpatient,185349003,Encounter for check up (procedure),85.55,437.25,0.0,,,32,,,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)",Med rec
60,60,Symptomatic encounter for acute bronchitis; sputum exam conducted. Patient on Tylenol.,1989-02-12,Mitchel812,2021-08-23,2021-08-23,2,ambulatory,185345009,Encounter for symptom (procedure),85.55,10606.55,4232.09,10509002.0,Acute bronchitis (disorder),32,,Acute bronchitis,APAP 325mg tab,Sputum exam
61,61,Dental check including fluoride application completed.,1989-02-12,Mitchel812,2021-08-30,2021-08-30,2,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3536.75,66383009.0,Gingivitis (disorder),32,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
62,62,Health and substance assessments performed with medication review due.,1989-02-12,Mitchel812,2022-04-04,2022-04-04,2,wellness,162673000,General examination of patient (procedure),136.8,717.36,0.0,,,33,"Height 188.5 cm, PainScore 2.0 {score}, Weight 95.1 kg, BMI 26.8 kg/m2, DBP 90.0 mm[Hg], SBP 134.0 mm[Hg], HR 93.0 /min, RR 15.0 /min, TotalCholesterol 184.6 mg/dL, HDL 51.8 mg/dL, AutoWBCCount 7.5 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 15.8 g/dL, AutoHct 49.9 %, AutoMCV 80.4 fL, MCH 28.4 pg, MCHC 33.8 g/dL, RDWv 41.7 fL, PlateletCount 414.1 10*3/uL, PDW 457.0 fL, MPV 10.8 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Substance use assess, Drug abuse screen"
63,63,ER admission for skin burn treated with Naproxen.,1989-02-12,Mitchel812,2022-10-21,2022-10-21,2,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,48333001.0,Burn injury (morphologic abnormality),33,,"Burn, Skin burn",Naproxen Na 220mg tab,
64,64,"Hospitalized for burn management requiring extensive multidisciplinary care including nursing, PT, OT, and speech therapy.",1989-02-12,Mitchel812,2022-10-21,2022-11-18,2,snf,32485007,Hospital admission (procedure),110.92,20099.08,9132.14,25675004.0,Patient transfer to skilled nursing facility (procedure),33,,,,"H&P, Initial assess, Indiv care plan, Nursing care, Nursing care, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, Ancillary services, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, PT, Nursing care, Nursing care, Speech therapy, Nursing care, Nursing care, PT, OT, Nursing care, Nursing care, PT, OT, Nursing care, Ancillary services, Nursing care, Ancillary services, Nursing care, PT, Nursing care, PT, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, Ancillary services, Pre-d/c assess, Hosp d/c"
65,65,Routine check-up post hospital discharge. No medications or procedures noted.,1989-02-12,Mitchel812,2022-12-11,2022-12-11,2,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,85.55,403190006.0,Epidermal burn of skin (disorder),33,,,,
66,66,Comprehensive mental health and substance use assessments conducted; patient currently not in workforce.,1989-02-12,Mitchel812,2023-04-10,2023-04-10,2,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,34,"Height 188.5 cm, PainScore 3.0 {score}, Weight 96.7 kg, BMI 27.2 kg/m2, DBP 84.0 mm[Hg], SBP 137.0 mm[Hg], HR 65.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
67,67,Dental maintenance visit with fluoride treatment.,1989-02-12,Mitchel812,2023-04-24,2023-04-24,2,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),34,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
68,68,Presented with acute bronchitis; sputum exam performed. Medication includes APAP combination solution.,1989-02-12,Mitchel812,2023-07-30,2023-07-30,2,ambulatory,185345009,Encounter for symptom (procedure),85.55,4785.18,2103.24,10509002.0,Acute bronchitis (disorder),34,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,Sputum exam
69,69,Urgent care visit including medication reconciliation and health/social needs assessment. Patient full-time employed but experiencing stress.,1989-02-12,Mitchel812,2023-08-07,2023-08-07,2,urgentcare,702927004,Urgent care clinic (environment),142.58,789.68,473.81,,,34,"Height 188.5 cm, PainScore 0.0 {score}, Weight 96.7 kg, BMI 27.2 kg/m2, DBP 85.0 mm[Hg], SBP 138.0 mm[Hg], HR 100.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress","APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Med rec, Health/social needs assess"
70,70,Medication reconciliation performed; medication review recommended.,1989-02-12,Mitchel812,2023-08-14,2023-08-14,2,outpatient,185349003,Encounter for check up (procedure),85.55,437.25,262.35,,,34,,Med review due,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)",Med rec
71,71,Comprehensive assessments including domestic abuse and substance use screenings performed. Medication review due.,1989-02-12,Mitchel812,2024-04-15,2024-04-15,2,wellness,162673000,General examination of patient (procedure),136.8,568.2,0.0,,,35,"Height 188.5 cm, PainScore 0.0 {score}, Weight 98.5 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg], SBP 136.0 mm[Hg], HR 88.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu)","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
72,72,"Patient, age 4, presented to emergency room with history of seizures and epilepsy. Admission for acute seizure disorder management. No medication noted during this encounter. ",1975-02-15,Arie325,1980-01-14,1980-01-14,3,emergency,50849002,Emergency room admission (procedure),146.18,4407.08,0.0,128613002.0,Seizure disorder (disorder),4,,"Seizure d/o, H/o seizure, Epilepsy",,
73,73,"At 17 years, patient attended well-child visit addressing risk behaviors typical for adolescent assessment. No procedures or medications recorded. ",1975-02-15,Arie325,1992-04-04,1992-04-04,3,wellness,410620009,Well child visit (procedure),136.8,1112.77,703.82,,,17,,Risk behaviors,,
74,74,"During general examination at age 18, patient noted to be enrolled in higher education. No acute complaints or medications documented. ",1975-02-15,Arie325,1993-04-10,1993-04-10,3,wellness,162673000,General examination of patient (procedure),136.8,704.2,376.96,,,18,,Higher ed,,
75,75,"At 21 years, urgent care visit revealed obesity with BMI >30 and history of intimate partner violence (IPV). Counseling and intervention recommended. ",1975-02-15,Arie325,1996-08-31,1996-08-31,3,urgentcare,702927004,Urgent care clinic (environment),142.58,1056.56,658.84,,,21,,"Obesity BMI>30, IPV",,
76,76,Prenatal visit at 30 years with history of miscarriage. Patient under routine prenatal care therapy. No medications or procedures recorded. ,1975-02-15,Arie325,2005-04-29,2005-04-29,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,804.3,79586000.0,Tubal pregnancy (disorder),30,,H/o miscarriage,,
77,77,Patient at 39 years presented for treatment consultation; currently on Jolivette 28-day oral contraceptive pack. ,1975-02-15,Arie325,2014-04-27,2014-04-27,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),39,,,Jolivette 28d pack,
78,78,"General exam at 40 years notes medication review due, patient is part-time employed, reports stress symptoms. ",1975-02-15,Arie325,2015-02-21,2015-02-21,3,wellness,162673000,General examination of patient (procedure),136.8,914.78,545.42,,,40,,"Med review due, Part-time employed, Stress",,
79,79,Consultation at age 40; patient continues Jolivette 28-day pack for contraception management. ,1975-02-15,Arie325,2015-04-22,2015-04-22,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),40,,,Jolivette 28d pack,
80,80,"At 40 years, patient presented with symptoms consistent with acute viral pharyngitis; supportive care advised. ",1975-02-15,Arie325,2015-09-11,2015-09-11,3,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,195662009.0,Acute viral pharyngitis (disorder),40,BodyTemp 37.2 Cel,Acute viral pharyngitis,,
81,81,Initial prenatal visit at age 40 included comprehensive labs and fetal assessments confirming normal pregnancy status. ,1975-02-15,Arie325,2016-02-06,2016-02-06,3,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,42253.81,33803.06,72892002.0,Normal pregnancy (finding),40,,Normal preg,,"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"
82,82,"Prenatal follow-up at 41 years including fetal heart auscultation, fundal height evaluation, and amniocentesis with FISH for aneuploidy screening. ",1975-02-15,Arie325,2016-03-05,2016-03-05,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6280.86,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
83,83,"Continued prenatal monitoring at age 41 with fetal anatomy scan and antenatal AFP testing, fetal heart auscultation normal. ",1975-02-15,Arie325,2016-04-02,2016-04-02,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,15375.16,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
84,84,Encounter at 41 years for symptoms of viral sinusitis managed conservatively. ,1975-02-15,Arie325,2016-04-12,2016-04-12,3,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),41,,Viral sinusitis,,
85,85,Routine prenatal visit at 41 with fundal height evaluation and fetal heart auscultation within normal limits. ,1975-02-15,Arie325,2016-04-30,2016-04-30,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9870.76,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Fundal height eval, Fetal heart auscult"
86,86,Additional prenatal care at 41 years showing stable fetal development based on fundal height and heart auscultation. ,1975-02-15,Arie325,2016-05-28,2016-05-28,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4886.03,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Fundal height eval, Fetal heart auscult"
87,87,"Prenatal visit at 41 years included blood work, DTaP vaccination, urine glucose screening and fetal vital checks. ",1975-02-15,Arie325,2016-06-25,2016-06-25,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9745.6,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
88,88,Continued prenatal assessments demonstrating normal fetal growth and heart rate at age 41. ,1975-02-15,Arie325,2016-07-23,2016-07-23,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8683.9,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Fundal height eval, Fetal heart auscult"
89,89,Screening for Group B Streptococcus antigen performed along with routine fetal assessments at 41 years. ,1975-02-15,Arie325,2016-08-20,2016-08-20,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6540.75,0.0,72892002.0,Normal pregnancy (finding),41,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
90,90,Emergency obstetric admission resulted in epidural analgesia and Cesarean section delivery at age 41. ,1975-02-15,Arie325,2016-09-03,2016-09-03,3,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,4782.48,0.0,72892002.0,Normal pregnancy (finding),41,,,,"Epidural, C-section"
91,91,Postnatal visit including physical examination and depression screening; patient monitored for postpartum depression. ,1975-02-15,Arie325,2016-10-15,2016-10-15,3,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,0.0,,,41,,,,"PE, Depression screen"
92,92,Comprehensive evaluation at 42 years revealed limited social contact and unhealthy alcohol consumption screened with AUDIT-C. ,1975-02-15,Arie325,2017-02-25,2017-02-25,3,wellness,162673000,General examination of patient (procedure),136.8,1050.78,1050.78,,,42,"Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 73.0 mm[Hg], SBP 132.0 mm[Hg], HR 82.0 /min, RR 15.0 /min, TotalCholesterol 219.4 mg/dL, HDL 55.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Limited social contact, Unhealthy alcohol use",,"Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess"
93,93,"At 42 years, patient had initial prenatal visit confirming normal pregnancy via pregnancy test and fetal viability ultrasound. ",1975-02-15,Arie325,2018-02-10,2018-02-10,3,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,16213.22,16178.22,72892002.0,Normal pregnancy (finding),42,,Normal preg,,"Preg test, Fetal viability US"
94,94,Patient-initiated visit at 43 years included counseling and management for termination of pregnancy (TOP). ,1975-02-15,Arie325,2018-02-26,2018-02-26,3,ambulatory,270427003,Patient-initiated encounter (procedure),85.55,4444.98,3369.58,72892002.0,Normal pregnancy (finding),43,,,,"TOP counseling, TOP"
95,95,"Prenatal visit at 43 years involved follow-up TOP care, physical exam and depression screening. ",1975-02-15,Arie325,2018-03-07,2018-03-07,3,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1443.68,1154.94,72892002.0,Normal pregnancy (finding),43,,,,"TOP care, PE, Depression screen"
96,96,"At 43 years, consultation led to insertion of subcutaneous contraceptive implant (Etonogestrel 68mg) for long-term contraception. ",1975-02-15,Arie325,2018-10-12,2018-10-12,3,outpatient,698314001,Consultation for treatment (procedure),142.58,8872.88,7098.3,389095005.0,Contraception care (regime/therapy),43,,,Etonogestrel 68mg implant,SC contraceptive insert
97,97,General exam and screening at 44 years found patient employed full-time but socially isolated; multiple psychosocial assessments completed. ,1975-02-15,Arie325,2019-03-02,2019-03-02,3,wellness,162673000,General examination of patient (procedure),136.8,1296.91,851.13,,,44,"Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 73.0 mm[Hg], SBP 134.0 mm[Hg], HR 76.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Social isolation",,"Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
98,98,Treatment consultation with no documented procedures or medications at 44 years. ,1975-02-15,Arie325,2019-10-07,2019-10-07,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),44,,,,
99,99,Intrauterine device insertion performed at 44 years as contraceptive measure. ,1975-02-15,Arie325,2019-10-09,2019-10-09,3,outpatient,308335008,Patient encounter procedure (procedure),142.58,4052.91,3242.32,389095005.0,Contraception care (regime/therapy),44,,,,IUD insertion
100,100,"At 46 years, patient underwent medication reconciliation and psychosocial screenings with medication review noted due. ",1975-02-15,Arie325,2021-03-06,2021-03-06,3,wellness,162673000,General examination of patient (procedure),136.8,1158.73,740.58,,,46,"Height 160.8 cm, PainScore 1.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 79.0 mm[Hg], SBP 131.0 mm[Hg], HR 87.0 /min, RR 16.0 /min, TotalCholesterol 169.4 mg/dL, HDL 51.9 mg/dL, AutoWBCCount 8.8 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.5 g/dL, AutoHct 38.0 %, AutoMCV 87.9 fL, MCH 29.6 pg, MCHC 35.6 g/dL, RDWv 42.6 fL, PlateletCount 261.4 10*3/uL, PDW 403.4 fL, MPV 9.8 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
101,101,Vaccination administered at 46 years to produce active immunity; details of vaccine unspecified. ,1975-02-15,Arie325,2021-04-10,2021-04-10,3,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,46,,,,
102,102,Additional vaccine given at 46 years as part of immunization schedule. ,1975-02-15,Arie325,2021-05-01,2021-05-01,3,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,46,,,,
103,103,Patient treated for knee osteoarthritis at 46 years with Naproxen sodium 220mg tablets. ,1975-02-15,Arie325,2021-08-18,2021-08-18,3,virtual,185347001,Encounter for problem (procedure),75.0,75.0,60.0,239873007.0,Osteoarthritis of knee (disorder),46,PainScore 9.0 {score},Knee OA,Naproxen Na 220mg tab,
104,104,Consultation included prescription of Camila 28-day oral contraceptive pack. ,1975-02-15,Arie325,2021-09-28,2021-09-28,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),46,,,Camila 28d pack,
105,105,"At 47 years, patient underwent removal of prior subcutaneous contraceptive implant followed by insertion of a new implant. ",1975-02-15,Arie325,2022-10-22,2022-10-22,3,outpatient,308335008,Patient encounter procedure (procedure),142.58,22867.95,0.0,389095005.0,Contraception care (regime/therapy),47,,,,"SC contraceptive removal, SC contraceptive insert"
106,106,"Comprehensive exam at 48 years included medication reconciliation (Hydrochlorothiazide 25mg bid), psychosocial assessments, and dental referral; ongoing hypertension and stress noted. ",1975-02-15,Arie325,2023-03-11,2023-03-11,3,wellness,162673000,General examination of patient (procedure),136.8,1051.34,655.76,,,48,"Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 99.0 mm[Hg], SBP 155.0 mm[Hg], HR 65.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan","HTN, Med review due, Stress","HCTZ 25mg tab, HCTZ 25mg tab","Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
107,107,"Dental checkup at 48 years included scaling, exams, fluoride treatment with NaF gel, and oral health education. ",1975-02-15,Arie325,2023-03-25,2023-03-25,3,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),48,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
108,108,Follow-up appointment involved continuation of Lisinopril 10mg for blood pressure management. ,1975-02-15,Arie325,2023-04-10,2023-04-10,3,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,59621000.0,Essential hypertension (disorder),48,"DBP 90.0 mm[Hg], SBP 138.0 mm[Hg]",,Lisinopril 10mg tab,
109,109,Routine follow-up visit at 48 years with no new clinical interventions. ,1975-02-15,Arie325,2023-06-09,2023-06-09,3,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,59621000.0,Essential hypertension (disorder),48,"DBP 80.0 mm[Hg], SBP 130.0 mm[Hg]",,,
110,110,Additional follow-up visit at 48 years; patient stable with current management. ,1975-02-15,Arie325,2023-08-08,2023-08-08,3,virtual,390906007,Follow-up encounter (procedure),75.0,75.0,60.0,59621000.0,Essential hypertension (disorder),48,"DBP 83.0 mm[Hg], SBP 128.0 mm[Hg]",,,
111,111,Consultation resulted in insertion of Liletta 52mg intrauterine system for contraception. ,1975-02-15,Arie325,2023-09-18,2023-09-18,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),48,,,Liletta 52mg IUS,
112,112,IUD insertion procedure completed during clinical visit at 48 years. ,1975-02-15,Arie325,2023-09-21,2023-09-21,3,outpatient,308335008,Patient encounter procedure (procedure),142.58,4052.91,3242.32,389095005.0,Contraception care (regime/therapy),48,,,,IUD insertion
113,113,Emergency room admission at 49 years for facial laceration requiring wound suture; ibuprofen 200mg prescribed for pain control. ,1975-02-15,Arie325,2024-02-27,2024-02-27,3,emergency,50849002,Emergency room admission (procedure),146.18,4140.89,3271.45,312608009.0,Laceration - injury (disorder),49,,"Lac, Facial lac",Ibuprofen 200mg tab,Wound suture
114,114,"Comprehensive evaluation at 49 years identified ischemic heart disease; medication regimen includes HCTZ, Lisinopril, Clopidogrel, Simvastatin, Metoprolol ER, NTG spray; patient currently not working. ",1975-02-15,Arie325,2024-03-16,2024-03-16,3,wellness,162673000,General examination of patient (procedure),136.8,778.78,623.02,,,49,"Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 82.0 mm[Hg], SBP 127.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, TotalCholesterol 192.1 mg/dL, HDL 64.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, IHD, Not in workforce","HCTZ 25mg tab, Lisinopril 10mg tab, Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
115,115,Referral to cardiology for further evaluation of cardiac concerns noted at 49 years. ,1975-02-15,Arie325,2024-03-23,2024-03-23,3,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,414545008.0,Ischemic heart disease (disorder),49,,,,Cards referral
116,116,"Cardiology workup at 49 years involved treatment consult, coronary angiography showing abnormal cardiac imaging; patient managed post-procedure in PACU. ",1975-02-15,Arie325,2024-03-25,2024-03-25,3,ambulatory,185347001,Encounter for problem (procedure),85.55,1444.46,1155.57,414545008.0,Ischemic heart disease (disorder),49,,Abn cardiac img,,"Tx consult, Coronary angio, PACU, Cards referral"
117,117,Percutaneous coronary intervention performed at 49 years as treatment for coronary artery disease. ,1975-02-15,Arie325,2024-04-01,2024-04-01,3,ambulatory,185347001,Encounter for problem (procedure),85.55,22600.37,18080.3,414545008.0,Ischemic heart disease (disorder),49,,,,PCI
118,118,Contraceptive management with Jolivette 28-day oral contraceptive pack continued at 49 years. ,1975-02-15,Arie325,2024-09-15,2024-09-15,3,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),49,,,Jolivette 28d pack,
119,119,"Presented with sinusitis symptoms at 49 years, managed symptomatically. ",1975-02-15,Arie325,2024-11-22,2024-11-22,3,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,36971009.0,Sinusitis (disorder),49,,Sinusitis,,
120,120,Routine check-up at 50 years involved screening colonoscopy. ,1975-02-15,Arie325,2025-02-15,2025-02-15,3,ambulatory,185349003,Encounter for check up (procedure),85.55,5138.45,3924.36,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
121,130,General examination at 50 years included medication reconciliation for hypertension medications; no acute issues noted.,1975-02-15,Arie325,2025-03-22,2025-03-22,3,wellness,162673000,General examination of patient (procedure),136.8,1702.11,1361.69,,,50,"Height 160.8 cm, PainScore 1.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP 79.0 mm[Hg], SBP 116.0 mm[Hg], HR 67.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,"HCTZ 25mg tab, Lisinopril 10mg tab","Med rec, Health/social needs assess"
122,121,Patient presented to the emergency room with a history of seizure disorder. No procedures done during this visit. Monitoring and management of seizure disorder initiated.,1974-02-19,Everette494,1983-05-16,1983-05-16,4,emergency,50849002,Emergency room admission (procedure),146.18,9936.95,9886.95,128613002.0,Seizure disorder (disorder),9,,"Seizure d/o, H/o seizure",,
123,122,Well child visit at age 11. Patient currently prescribed Clonazepam 0.25mg for seizure management. No new conditions reported.,1974-02-19,Everette494,1985-03-05,1985-03-05,4,wellness,410620009,Well child visit (procedure),136.8,778.78,743.78,,,11,,,Clonazepam 0.25mg tab,
124,123,"Emergency admission for epilepsy management. No procedures performed. Patient diagnosed with epilepsy, ongoing medication management required.",1974-02-19,Everette494,1986-08-26,1986-08-26,4,emergency,50849002,Emergency room admission (procedure),146.18,5690.88,5655.88,128613002.0,Seizure disorder (disorder),12,,Epilepsy,,
125,124,Routine check-up with focus on screening for risk behaviors at age 17. No new medications or procedures. Patient educated on risk behavior management.,1974-02-19,Everette494,1991-10-29,1991-10-29,4,outpatient,185349003,Encounter for check up (procedure),85.55,1139.78,1104.78,,,17,,Risk behaviors,,
126,125,General examination noted patient is enrolled in higher education. No procedures or medications during this visit.,1974-02-19,Everette494,1992-04-14,1992-04-14,4,wellness,162673000,General examination of patient (procedure),136.8,823.23,788.23,,,18,,Higher ed,,
127,126,Patient assessed at age 31 with obesity (BMI >30). Lifestyle modification counseling provided. No new medication changes.,1974-02-19,Everette494,2005-05-03,2005-05-03,4,wellness,162673000,General examination of patient (procedure),136.8,1305.91,1270.91,,,31,,Obesity BMI>30,,
128,127,"At 37 years, patient due for medication review. No immediate changes made.",1974-02-19,Everette494,2011-05-10,2011-05-10,4,wellness,162673000,General examination of patient (procedure),136.8,778.78,778.78,,,37,,Med review due,,
129,128,Urgent care visit revealed prediabetes. Patient advised on glucose monitoring and lifestyle changes to prevent diabetes progression.,1974-02-19,Everette494,2013-10-29,2013-10-29,4,urgentcare,702927004,Urgent care clinic (environment),142.58,929.58,894.58,,,39,,Prediabetes,,
130,129,Patient presented with chronic pain and transformed migraine at age 39. Management strategies discussed.,1974-02-19,Everette494,2014-02-06,2014-02-06,4,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,50.55,82423001.0,Chronic pain (finding),39,,"Chronic pain, Transformed migraine",,
131,131,General examination at age 40 identified unemployment and stress contributing to health status. Social support and stress management discussed.,1974-02-19,Everette494,2014-02-25,2014-02-25,4,wellness,162673000,General examination of patient (procedure),136.8,921.58,921.58,,,40,,"Unemployed, Stress",,
132,132,Health and social needs assessed including dual depression screening. Patient has anemia and is currently not in workforce. Support services considered.,1974-02-19,Everette494,2016-03-01,2016-03-01,4,wellness,162673000,General examination of patient (procedure),136.8,1132.16,1132.16,,,42,"HbA1c 6.4 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 89.0 kg, BMI 27.7 kg/m2, DBP 74.0 mm[Hg], SBP 104.0 mm[Hg], HR 88.0 /min, RR 13.0 /min, BloodGlucose 64.5 mg/dL, BloodBUN 10.2 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.3 mmol/L, BloodK 4.9 mmol/L, BloodChloride 106.6 mmol/L, TotalCO2Blood 21.1 mmol/L, TotalCholesterol 313.6 mg/dL, HDL 55.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Anemia, Not in workforce",,"Health/social needs assess, Depression screen, Depression screen"
133,133,"Encounter performed with peripheral smear interpretation, review of systems, and medication reconciliation. No additional conditions noted.",1974-02-19,Everette494,2016-03-08,2016-03-08,4,ambulatory,185347001,Encounter for problem (procedure),85.55,1579.79,1544.79,271737000.0,Anemia (disorder),42,"BloodHgb 10.9 g/dL, BloodHct 31.4 %, AutoWBCCount 3.5 10*3/uL, AutoRBCCount 4.3 10*6/uL, AutoMCV 86.7 fL, MCH 28.2 pg, MCHC 35.4 g/dL, RDWv 43.7 fL, PlateletCount 332.7 10*3/uL, PDW 308.8 fL, MPV 12.3 fL",,,"Periph smear interp, ROS, Med rec, Brief exam"
134,134,General exam with multiple screenings including domestic abuse and depression. Diagnosed with hypertension and gingivitis. Prescribed Amlodipine 2.5mg twice. Patient employed part-time.,1974-02-19,Everette494,2018-03-06,2018-03-06,4,wellness,162673000,General examination of patient (procedure),136.8,785.58,785.58,,,44,"HbA1c 5.9 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 92.0 kg, BMI 28.6 kg/m2, DBP 100.0 mm[Hg], SBP 135.0 mm[Hg], HR 82.0 /min, RR 13.0 /min, BloodGlucose 68.1 mg/dL, BloodBUN 10.4 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 101.4 mmol/L, TotalCO2Blood 25.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","HTN, Part-time employed, Gingivitis","Amlodipine 2.5mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
135,135,"Comprehensive dental care visit addressing gum disease with scaling, surgery including gingivectomy, and postoperative care. Topical fluoride applied.",1974-02-19,Everette494,2018-03-20,2018-03-20,4,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,4795.95,66383009.0,Gingivitis (disorder),44,,Gum disease,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed"
136,136," ""Follow-up visit to review medications. Hydrochlorothiazide 25mg prescribed for hypertension management.""",1974-02-19,Everette494,2018-04-05,2018-04-05,4,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,50.55,59621000.0,Essential hypertension (disorder),44,"DBP 92.0 mm[Hg], SBP 133.0 mm[Hg]",,HCTZ 25mg tab,
137,137," ""Follow-up medication management with addition of Lisinopril 10mg for blood pressure control.""",1974-02-19,Everette494,2018-06-04,2018-06-04,4,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,50.55,59621000.0,Essential hypertension (disorder),44,"DBP 79.0 mm[Hg], SBP 115.0 mm[Hg]",,Lisinopril 10mg tab,
138,138," ""Routine follow-up without new findings or changes in medications.""",1974-02-19,Everette494,2018-08-03,2018-08-03,4,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,50.55,59621000.0,Essential hypertension (disorder),44,"DBP 68.0 mm[Hg], SBP 100.0 mm[Hg]",,,
139,139,Patient evaluated for viral sinusitis symptoms presenting with nasal congestion and facial pain. Supportive care recommended.,1974-02-19,Everette494,2018-08-23,2018-08-23,4,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),44,,Viral sinusitis,,
140,140,Encounter with pulmonary function testing due to acute bronchitis symptoms. Patient continued on current antihypertensive regimen with addition of acetaminophen for symptom relief.,1974-02-19,Everette494,2018-11-04,2018-11-04,4,ambulatory,185345009,Encounter for symptom (procedure),85.55,616.28,581.28,10509002.0,Acute bronchitis (disorder),44,,Acute bronchitis,"APAP 325mg tab, HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",PFT
141,141,Comprehensive check-up including medication reconciliation and mental health screenings. Patient employed full-time. Current medications continued.,1974-02-19,Everette494,2018-11-13,2018-11-13,4,outpatient,185349003,Encounter for check up (procedure),85.55,1041.21,1006.21,,,44,"HbA1c 5.9 %, Height 179.4 cm, PainScore 3.0 {score}, Weight 93.6 kg, BMI 29.1 kg/m2, DBP 68.0 mm[Hg], SBP 106.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, BloodGlucose 65.5 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 141.4 mmol/L, BloodK 4.7 mmol/L, BloodChloride 104.5 mmol/L, TotalCO2Blood 24.1 mmol/L, AutoWBCCount 7.2 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 16.9 g/dL, AutoHct 36.2 %, AutoMCV 82.9 fL, MCH 32.0 pg, MCHC 33.4 g/dL, RDWv 43.3 fL, PlateletCount 427.7 10*3/uL, PDW 234.0 fL, MPV 12.2 fL, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
142,142,Dental care visit with scaling and bitewing radiographs performed. Fluoride treatment applied.,1974-02-19,Everette494,2018-11-27,2018-11-27,4,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,103697008.0,Patient referral for dental care (procedure),44,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
143,143,Comprehensive exam including multiple screenings. Patient reports stress and limited social contact. Gingivitis ongoing. Med review pending.,1974-02-19,Everette494,2019-03-12,2019-03-12,4,wellness,162673000,General examination of patient (procedure),136.8,1149.62,1149.62,,,45,"HbA1c 6.0 %, Height 179.4 cm, PainScore 1.0 {score}, Weight 94.4 kg, BMI 29.3 kg/m2, DBP 66.0 mm[Hg], SBP 106.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 77.3 mg/dL, BloodBUN 9.8 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.6 mmol/L, BloodK 4.1 mmol/L, BloodChloride 103.5 mmol/L, TotalCO2Blood 28.2 mmol/L, TotalCholesterol 307.1 mg/dL, HDL 61.6 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Limited social contact, Stress, Gingivitis","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
144,144,"Dental visit focusing on scaling, gingival exam, and fluoride therapy for preventive care.",1974-02-19,Everette494,2019-03-26,2019-03-26,4,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3070.35,66383009.0,Gingivitis (disorder),45,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
145,145,General exam with ongoing medication review. Patient employed part-time and undergoing mental health and substance use assessments.,1974-02-19,Everette494,2020-03-17,2020-03-17,4,wellness,162673000,General examination of patient (procedure),136.8,1262.84,1262.84,,,46,"HbA1c 5.9 %, Height 179.4 cm, PainScore 0.0 {score}, Weight 96.8 kg, BMI 30.1 kg/m2, DBP 66.0 mm[Hg], SBP 102.0 mm[Hg], HR 62.0 /min, RR 13.0 /min, BloodGlucose 66.8 mg/dL, BloodBUN 10.4 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.0 mmol/L, BloodChloride 109.1 mmol/L, TotalCO2Blood 28.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
146,146,Patient with chronic kidney disease stage 2 and diabetic nephropathy reviewed. Insulin therapy initiated. Employed full-time.,1974-02-19,Everette494,2021-03-23,2021-03-23,4,wellness,162673000,General examination of patient (procedure),136.8,927.94,927.94,,,47,"SerumGlucose 80.4 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 141.5 mmol/L, SerumK 3.8 mmol/L, SerumChloride 108.3 mmol/L, TotalCO2Serum 27.5 mmol/L, MDRDGFR 67.4 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 199.2 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 5.9 %, Height 179.4 cm, PainScore 4.0 {score}, Weight 89.5 kg, BMI 27.8 kg/m2, DBP 58.0 mm[Hg], SBP 100.0 mm[Hg], HR 88.0 /min, RR 13.0 /min, BloodGlucose 80.4 mg/dL, BloodBUN 10.6 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 141.5 mmol/L, BloodK 3.8 mmol/L, BloodChloride 108.3 mmol/L, TotalCO2Blood 27.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, CKD stage 2, Diabetic nephropathy, Diabetic microalbumin, Full-time employed","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, 70/30 insulin 100u/ml susp (Humulin)","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
147,147,Dental check-up identified loose filling; COVID-19 ruled out. Preventive dental care provided.,1974-02-19,Everette494,2021-04-06,2021-04-06,4,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,103697008.0,Patient referral for dental care (procedure),47,,"Loose filling, R/O COVID",,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed"
148,148,"Patient presenting with respiratory symptoms including cough, sore throat, shortness of breath, wheezing, fever, and loss of taste. COVID-19 evaluated during visit.",1974-02-19,Everette494,2021-06-04,2021-06-04,4,ambulatory,185345009,Encounter for symptom (procedure),85.55,235.34,200.34,840544004.0,Suspected disease caused by Severe acute respiratory coronavirus 2 (situation),47,"BodyTemp 41.9 Cel, RR 21.8 /min, HR 167.5 /min, SaO2 82.6 %, DBP 66.0 mm[Hg], SBP 105.0 mm[Hg], Weight 88.7 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, Sore throat, SOB, Wheezing, Fever, Ageusia, COVID-19",,Face mask
149,149,Routine check-up with depression screening and health/social needs assessment. Ongoing insulin and antihypertensive treatment.,1974-02-19,Everette494,2021-07-20,2021-07-20,4,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,705.69,,,47,"SerumGlucose 96.7 mg/dL, SerumBUN 16.4 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 142.5 mmol/L, SerumK 4.7 mmol/L, SerumChloride 103.4 mmol/L, TotalCO2Serum 28.2 mmol/L, MDRDGFR 75.7 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 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.1 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 250.7 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 3.1 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 88.9 kg, BMI 27.6 kg/m2, DBP 67.0 mm[Hg], SBP 107.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 96.7 mg/dL, BloodBUN 16.4 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.5 mmol/L, BloodK 4.7 mmol/L, BloodChloride 103.4 mmol/L, TotalCO2Blood 28.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen"
150,150,"Check-up focus on medication review and anxiety screening. Patient diagnosed with metabolic syndrome, currently not in workforce.",1974-02-19,Everette494,2021-11-16,2021-11-16,4,outpatient,185349003,Encounter for check up (procedure),85.55,1739.49,1704.49,,,47,"SerumGlucose 71.9 mg/dL, SerumBUN 20.0 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 139.1 mmol/L, SerumK 5.0 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 63.7 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 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 201.3 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 3.4 %, Height 179.4 cm, PainScore 4.0 {score}, Weight 89.6 kg, BMI 27.9 kg/m2, DBP 68.0 mm[Hg], SBP 104.0 mm[Hg], HR 61.0 /min, RR 14.0 /min, BloodGlucose 71.9 mg/dL, BloodBUN 20.0 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 139.1 mmol/L, BloodK 5.0 mmol/L, BloodChloride 101.8 mmol/L, TotalCO2Blood 25.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","MetS, Not in workforce","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess"
151,151,Comprehensive examination with mental health and domestic abuse screenings conducted. Medications reviewed. Patient employed full-time.,1974-02-19,Everette494,2022-03-29,2022-03-29,4,wellness,162673000,General examination of patient (procedure),136.8,1408.56,1126.83,,,48,"SerumGlucose 67.5 mg/dL, SerumBUN 11.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.3 mmol/L, SerumChloride 110.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 60.9 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 279.2 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 3.0 %, Height 179.4 cm, PainScore 3.0 {score}, Weight 90.4 kg, BMI 28.1 kg/m2, DBP 57.0 mm[Hg], SBP 94.0 mm[Hg], HR 93.0 /min, RR 12.0 /min, BloodGlucose 67.5 mg/dL, BloodBUN 11.8 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.3 mmol/L, BloodChloride 110.9 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 274.0 mg/dL, HDL 58.3 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen"
152,152,Urgent care visit addressing social stressors and environmental violence exposure. Gingivitis present. Medications reviewed.,1974-02-19,Everette494,2022-10-11,2022-10-11,4,urgentcare,702927004,Urgent care clinic (environment),142.58,933.72,746.96,,,48,"SerumGlucose 75.8 mg/dL, SerumBUN 15.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 140.1 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 69.4 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.0 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 220.7 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 3.0 %, Height 179.4 cm, PainScore 3.0 {score}, Weight 91.6 kg, BMI 28.5 kg/m2, DBP 64.0 mm[Hg], SBP 96.0 mm[Hg], HR 62.0 /min, RR 13.0 /min, BloodGlucose 75.8 mg/dL, BloodBUN 15.0 mg/dL, BloodCreatinine 2.5 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 140.1 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.2 mmol/L, TotalCO2Blood 23.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Limited social contact, Stress, Enviro violence, Gingivitis","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
153,155,Routine dental check-up focusing on scaling and gingival evaluation.,1974-02-19,Everette494,2022-10-25,2022-10-25,4,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),48,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
154,156,"Check-up including anxiety, substance use and alcohol use disorder screening. Dental referral made.",1974-02-19,Everette494,2022-12-06,2022-12-06,4,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,48,"SerumGlucose 74.9 mg/dL, SerumBUN 12.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.8 mmol/L, SerumK 3.9 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 26.6 mmol/L, MDRDGFR 75.8 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 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 274.3 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 3.2 %, Height 179.4 cm, PainScore 3.0 {score}, Weight 91.9 kg, BMI 28.6 kg/m2, DBP 69.0 mm[Hg], SBP 100.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, BloodGlucose 74.9 mg/dL, BloodBUN 12.4 mg/dL, BloodCreatinine 2.1 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.8 mmol/L, BloodK 3.9 mmol/L, BloodChloride 101.7 mmol/L, TotalCO2Blood 26.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral"
155,162,Dental visit addressing tooth infection with surgical intervention including extraction and postoperative care. Fluoride treatment applied.,1974-02-19,Everette494,2022-12-20,2022-12-20,4,ambulatory,185349003,Encounter for check up (procedure),85.55,5262.35,4209.88,103697008.0,Patient referral for dental care (procedure),48,,Tooth infxn,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Dental surgery, Dental desensitizing, Simple tooth ext, Dental postop care, Gingival exam, Dental fluoride, Oral health ed"
156,167,General examination with multiple mental health and substance use assessments. Medications reviewed and maintained.,1974-02-19,Everette494,2023-04-04,2023-04-04,4,wellness,162673000,General examination of patient (procedure),136.8,1654.74,1654.74,,,49,"SerumGlucose 93.4 mg/dL, SerumBUN 9.7 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.4 mmol/L, SerumK 5.1 mmol/L, SerumChloride 102.0 mmol/L, TotalCO2Serum 28.2 mmol/L, MDRDGFR 72.5 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 186.2 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 3.0 %, Height 179.4 cm, PainScore 1.0 {score}, Weight 92.6 kg, BMI 28.8 kg/m2, DBP 66.0 mm[Hg], SBP 99.0 mm[Hg], HR 89.0 /min, RR 13.0 /min, BloodGlucose 93.4 mg/dL, BloodBUN 9.7 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 139.4 mmol/L, BloodK 5.1 mmol/L, BloodChloride 102.0 mmol/L, TotalCO2Blood 28.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
157,169,"Check-up focusing on mental health, substance use, and dental health in context of environmental violence. Gingivitis ongoing. Medication review due.",1974-02-19,Everette494,2023-09-05,2023-09-05,4,outpatient,185349003,Encounter for check up (procedure),85.55,876.69,841.69,,,49,"SerumGlucose 99.9 mg/dL, SerumBUN 13.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.9 mmol/L, SerumK 4.6 mmol/L, SerumChloride 107.8 mmol/L, TotalCO2Serum 26.3 mmol/L, MDRDGFR 88.2 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.3 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 269.9 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 3.4 %, Height 179.4 cm, PainScore 4.0 {score}, Weight 93.5 kg, BMI 29.1 kg/m2, DBP 68.0 mm[Hg], SBP 107.0 mm[Hg], HR 60.0 /min, RR 13.0 /min, BloodGlucose 99.9 mg/dL, BloodBUN 13.5 mg/dL, BloodCreatinine 2.1 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 136.9 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107.8 mmol/L, TotalCO2Blood 26.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Enviro violence, Gingivitis","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
158,173,"Dental check-up with scaling, fluoride application, and oral health education.",1974-02-19,Everette494,2023-09-19,2023-09-19,4,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3070.35,66383009.0,Gingivitis (disorder),49,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
159,175,Evaluation for substance use and referral to dental services provided. Gingivitis present.,1974-02-19,Everette494,2023-12-05,2023-12-05,4,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,780.27,,,49,"SerumGlucose 99.8 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 141.8 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.6 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 87.2 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.0 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 268.2 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 3.0 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 94.1 kg, BMI 29.2 kg/m2, DBP 69.0 mm[Hg], SBP 104.0 mm[Hg], HR 88.0 /min, RR 15.0 /min, BloodGlucose 99.8 mg/dL, BloodBUN 19.6 mg/dL, BloodCreatinine 3.5 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 141.8 mmol/L, BloodK 4.9 mmol/L, BloodChloride 110.6 mmol/L, TotalCO2Blood 27.2 mmol/L, AutoWBCCount 7.2 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 15.0 g/dL, AutoHct 35.1 %, AutoMCV 84.0 fL, MCH 29.4 pg, MCHC 35.3 g/dL, RDWv 44.9 fL, PlateletCount 421.7 10*3/uL, PDW 150.1 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
160,177,Routine dental care including scaling and gingival exam conducted.,1974-02-19,Everette494,2023-12-19,2023-12-19,4,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2638.95,66383009.0,Gingivitis (disorder),49,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
161,178,Comprehensive medication and health/social needs review with focus on substance use and stress management. Patient employed part-time.,1974-02-19,Everette494,2024-01-02,2024-01-02,4,outpatient,185349003,Encounter for check up (procedure),85.55,956.39,921.39,,,49,"SerumGlucose 85.9 mg/dL, SerumBUN 19.7 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 136.7 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 71.1 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 193.5 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 3.2 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 94.2 kg, BMI 29.3 kg/m2, DBP 58.0 mm[Hg], SBP 107.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, BloodGlucose 85.9 mg/dL, BloodBUN 19.7 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 136.7 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.1 mmol/L, TotalCO2Blood 21.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess"
162,183,Routine colonoscopy performed as part of age-appropriate screening. No complications.,1974-02-19,Everette494,2024-02-20,2024-02-20,4,ambulatory,185349003,Encounter for check up (procedure),85.55,5138.45,3924.36,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
163,186,Comprehensive medical and mental health screening with dental referral. Medication review due. Patient employed full-time.,1974-02-19,Everette494,2024-04-02,2024-04-02,4,outpatient,185349003,Encounter for check up (procedure),85.55,1092.39,873.9,,,50,"SerumGlucose 85.0 mg/dL, SerumBUN 11.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 138.2 mmol/L, SerumK 5.0 mmol/L, SerumChloride 108.2 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 79.9 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 276.7 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 3.1 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 94.8 kg, BMI 29.4 kg/m2, DBP 62.0 mm[Hg], SBP 97.0 mm[Hg], HR 84.0 /min, RR 13.0 /min, BloodGlucose 85.0 mg/dL, BloodBUN 11.9 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 138.2 mmol/L, BloodK 5.0 mmol/L, BloodChloride 108.2 mmol/L, TotalCO2Blood 25.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Gingivitis","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
164,188,General exam with medication reconciliation showing need for medication review.,1974-02-19,Everette494,2024-04-09,2024-04-09,4,wellness,162673000,General examination of patient (procedure),136.8,501.66,401.32,,,50,"SerumGlucose 86.2 mg/dL, SerumBUN 19.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.2 mmol/L, SerumK 4.1 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 23.5 mmol/L, MDRDGFR 81.5 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 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 246.8 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 3.1 %",Med review due,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
165,189,"Dental check-up with thorough cleaning, gingival examination, and fluoride application.",1974-02-19,Everette494,2024-04-16,2024-04-16,4,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),50,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
166,190,Medication and health/social assessment with attention to anxiety and substance use. Patient employed part-time.,1974-02-19,Everette494,2024-07-30,2024-07-30,4,outpatient,185349003,Encounter for check up (procedure),85.55,1603.49,1282.78,,,50,"SerumGlucose 86.2 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 136.2 mmol/L, SerumK 4.3 mmol/L, SerumChloride 103.1 mmol/L, TotalCO2Serum 28.6 mmol/L, MDRDGFR 84.4 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 219.0 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 3.3 %, Height 179.4 cm, PainScore 4.0 {score}, Weight 95.5 kg, BMI 29.7 kg/m2, DBP 70.0 mm[Hg], SBP 107.0 mm[Hg], HR 71.0 /min, RR 15.0 /min, BloodGlucose 86.2 mg/dL, BloodBUN 15.7 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 136.2 mmol/L, BloodK 4.3 mmol/L, BloodChloride 103.1 mmol/L, TotalCO2Blood 28.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen"
167,191,Full screening including domestic abuse and mental health assessments. Medication review performed. Patient employed full-time.,1974-02-19,Everette494,2024-08-27,2024-08-27,4,outpatient,185349003,Encounter for check up (procedure),85.55,1665.41,1332.32,,,50,"SerumGlucose 65.1 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 60.9 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 334.2 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 3.0 %, Height 179.4 cm, PainScore 0.0 {score}, Weight 95.6 kg, BMI 29.7 kg/m2, DBP 68.0 mm[Hg], SBP 89.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, BloodGlucose 65.1 mg/dL, BloodBUN 7.2 mg/dL, BloodCreatinine 2.5 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.1 mmol/L, BloodChloride 102.3 mmol/L, TotalCO2Blood 25.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen"
168,192,Health and depression screenings completed with dental referral for persistent gingivitis. Medication review due.,1974-02-19,Everette494,2024-11-26,2024-11-26,4,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,50,"SerumGlucose 86.3 mg/dL, SerumBUN 10.8 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 23.8 mmol/L, MDRDGFR 65.2 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 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 6.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 281.7 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 3.0 %, Height 179.4 cm, PainScore 2.0 {score}, Weight 96.2 kg, BMI 29.9 kg/m2, DBP 70.0 mm[Hg], SBP 95.0 mm[Hg], HR 78.0 /min, RR 14.0 /min, BloodGlucose 86.3 mg/dL, BloodBUN 10.8 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 138.1 mmol/L, BloodK 4.0 mmol/L, BloodChloride 107.9 mmol/L, TotalCO2Blood 23.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
169,193,Dental visit focusing on preventive care with scaling and gingival examination. Oral health education provided.,1974-02-19,Everette494,2024-12-10,2024-12-10,4,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),50,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
170,153,"At 4 years old, patient presented for a well child visit. No procedures or medications were noted. A medication review is due.",2008-10-08,Dewitt635,2013-09-18,2013-09-18,5,wellness,410620009,Well child visit (procedure),136.8,816.8,0.0,,,4,,Med review due,,
171,154,"At 6 years old, patient attended a well child visit including medication reconciliation. No new medications or conditions were documented.",2008-10-08,Dewitt635,2015-09-30,2015-09-30,5,wellness,410620009,Well child visit (procedure),136.8,706.93,0.0,,,6,"Height 120.1 cm, PainScore 3.0 {score}, Weight 24.7 kg, BMI 17.1 kg/m2, BMIPercentile 82.2 %, DBP 80.0 mm[Hg], SBP 127.0 mm[Hg], HR 71.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
172,157,"During the well child visit at age 7, a dental referral was made due to gingivitis. Medication review is still pending.",2008-10-08,Dewitt635,2016-10-05,2016-10-05,5,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,7,"Height 126.2 cm, PainScore 3.0 {score}, Weight 27.5 kg, BMI 17.3 kg/m2, BMIPercentile 78.7 %, DBP 73.0 mm[Hg], SBP 132.0 mm[Hg], HR 81.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,Dental referral
173,158,"At 8 years old, comprehensive dental care was provided including scaling, bitewing x-rays, gingival exam, fluoride application, and oral health education. NaF 2.72% oral gel prescribed.",2008-10-08,Dewitt635,2016-10-12,2016-10-12,5,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,66383009.0,Gingivitis (disorder),8,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
174,159,Patient at age 9 attended a well child visit with medication reconciliation performed. No new medications or conditions noted.,2008-10-08,Dewitt635,2017-10-11,2017-10-11,5,wellness,410620009,Well child visit (procedure),136.8,537.25,0.0,,,9,"Height 132.2 cm, PainScore 0.0 {score}, Weight 29.2 kg, BMI 16.7 kg/m2, BMIPercentile 60.8 %, DBP 75.0 mm[Hg], SBP 133.0 mm[Hg], HR 66.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
175,160,"At age 9, patient presented with symptoms diagnosed as viral sinusitis. No procedures or medications were documented.",2008-10-08,Dewitt635,2018-05-29,2018-05-29,5,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),9,,Viral sinusitis,,
176,161,"At 10 years old, patient had a well child visit with a dental referral issued. Medication review is still due.",2008-10-08,Dewitt635,2018-10-17,2018-10-17,5,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,10,"Height 137.2 cm, PainScore 1.0 {score}, Weight 31.2 kg, BMI 16.6 kg/m2, BMIPercentile 49.2 %, DBP 80.0 mm[Hg], SBP 135.0 mm[Hg], HR 87.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Dental referral
177,163,"Dental consult and cleaning were provided at age 10 including scaling, gingival exam, and oral health education.",2008-10-08,Dewitt635,2018-10-24,2018-10-24,5,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,103697008.0,Patient referral for dental care (procedure),10,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
178,164,"At 11 years old, a well child visit with medication reconciliation was performed. No new conditions or medications noted.",2008-10-08,Dewitt635,2019-10-23,2019-10-23,5,wellness,410620009,Well child visit (procedure),136.8,1321.66,0.0,,,11,"Height 142.0 cm, PainScore 1.0 {score}, Weight 36.1 kg, BMI 17.9 kg/m2, BMIPercentile 62.0 %, DBP 82.0 mm[Hg], SBP 120.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 50.0 %, AutoMCV 93.5 fL, MCH 32.0 pg, MCHC 34.1 g/dL, RDWv 39.6 fL, PlateletCount 267.8 10*3/uL, PDW 411.2 fL, MPV 10.6 fL, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
179,165,"At 12 years old, mental health screenings including anxiety assessment, depression screen, and PHQ-9 were conducted. Dental referral issued due to gingivitis. Medication review remains pending.",2008-10-08,Dewitt635,2020-10-28,2020-10-28,5,wellness,410620009,Well child visit (procedure),136.8,840.2,0.0,,,12,"Height 147.4 cm, PainScore 1.0 {score}, Weight 40.4 kg, BMI 18.6 kg/m2, BMIPercentile 61.8 %, DBP 81.0 mm[Hg], SBP 120.0 mm[Hg], HR 79.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Anxiety assess, Depression screen, PHQ-9 screen, Dental referral"
180,166,"Comprehensive dental care including surgery (gingivectomy), scaling, bitewing x-rays, desensitizing treatment, and postoperative care was provided at age 12. Patient diagnosed with gum disease.",2008-10-08,Dewitt635,2020-11-11,2020-11-11,5,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,819.8,66383009.0,Gingivitis (disorder),12,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
181,168,"At age 12, patient received vaccination to produce active immunity. COVID-19 ruled out.",2008-10-08,Dewitt635,2021-08-11,2021-08-11,5,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,195.01,,,12,,R/O COVID,,
182,170,"At age 12, patient presented with fever and COVID-19 diagnosis. Provider ensured use of face mask for infection control.",2008-10-08,Dewitt635,2021-08-21,2021-08-21,5,ambulatory,185345009,Encounter for symptom (procedure),85.55,239.67,167.77,840544004.0,Suspected disease caused by Severe acute respiratory coronavirus 2 (situation),12,"BodyTemp 37.9 Cel, RR 38.0 /min, HR 192.7 /min, SaO2 77.6 %, DBP 80.0 mm[Hg], SBP 136.0 mm[Hg], Weight 42.6 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","Fever, COVID-19",,Face mask
183,171,Patient aged 12 received vaccination to produce active immunity. No additional details given.,2008-10-08,Dewitt635,2021-09-08,2021-09-08,5,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,195.01,,,12,,,,
184,172,"At 13 years, patient underwent mental health screenings (depression, PHQ-9), substance use assessments (including CRAFFT), and anticipatory guidance. Dental referral issued.",2008-10-08,Dewitt635,2021-11-03,2021-11-03,5,wellness,410620009,Well child visit (procedure),136.8,840.2,0.0,,,13,"Height 154.4 cm, PainScore 0.0 {score}, Weight 43.1 kg, BMI 18.1 kg/m2, BMIPercentile 43.4 %, DBP 82.0 mm[Hg], SBP 134.0 mm[Hg], HR 84.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
185,174,"Dental care at age 13 included scaling, bitewing x-rays, gingival exam, and oral health education.",2008-10-08,Dewitt635,2021-11-17,2021-11-17,5,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),13,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
186,176,"At 13 years, patient was admitted to ER with bone and rib fractures. Chest X-ray and bone immobilization done. APAP 325mg prescribed for pain management.",2008-10-08,Dewitt635,2021-12-26,2021-12-26,5,emergency,50849002,Emergency room admission (procedure),146.18,8155.58,5449.21,125605004.0,Fracture of bone (disorder),13,,"Bone fx, Rib fx",APAP 325mg tab,"CXR, Bone immob"
187,179,"Routine check-up at age 13. No procedures, medications, or conditions reported.",2008-10-08,Dewitt635,2022-03-14,2022-03-14,5,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,59.88,33737001.0,Fracture of rib (disorder),13,,,,
188,180,"At 14 years, patient received substance use assessments including CRAFFT screening and anticipatory guidance.",2008-10-08,Dewitt635,2022-11-09,2022-11-09,5,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,14,"Height 162.7 cm, PainScore 3.0 {score}, Weight 52.0 kg, BMI 19.6 kg/m2, BMIPercentile 56.2 %, DBP 81.0 mm[Hg], SBP 122.0 mm[Hg], HR 100.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Substance use assess, CRAFFT screen, Anticipatory guide"
189,181,"Patient at 14 presented with strep throat, treated with Penicillin VK 250mg tablets.",2008-10-08,Dewitt635,2023-04-27,2023-04-27,5,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,43878008.0,Streptococcal sore throat (disorder),14,BodyTemp 37.6 Cel,Strep throat,PCN VK 250mg tab,
190,182,"At age 15, comprehensive well child visit including medication reconciliation, mental health and substance use assessments, health risk education, and dental referral due to gingivitis.",2008-10-08,Dewitt635,2023-11-15,2023-11-15,5,wellness,410620009,Well child visit (procedure),136.8,1532.82,0.0,,,15,"Height 168.5 cm, PainScore 4.0 {score}, Weight 54.9 kg, BMI 19.3 kg/m2, BMIPercentile 41.2 %, DBP 79.0 mm[Hg], SBP 136.0 mm[Hg], HR 71.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Risk behaviors, Gingivitis",,"Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed, Dental referral"
191,184,"Dental check-up with scaling, bitewing x-ray and oral health education at 15 years old.",2008-10-08,Dewitt635,2023-11-29,2023-11-29,5,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,96.72,66383009.0,Gingivitis (disorder),15,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
192,185,Well child visit at 16 included depression screening and dental referral. Gingivitis persists and medication review is pending.,2008-10-08,Dewitt635,2024-11-20,2024-11-20,5,wellness,410620009,Well child visit (procedure),136.8,914.78,0.0,,,16,"Height 171.9 cm, PainScore 3.0 {score}, Weight 61.8 kg, BMI 20.9 kg/m2, BMIPercentile 54.3 %, DBP 79.0 mm[Hg], SBP 126.0 mm[Hg], HR 90.0 /min, RR 15.0 /min, AutoWBCCount 7.9 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 13.0 g/dL, AutoHct 39.4 %, AutoMCV 87.8 fL, MCH 32.2 pg, MCHC 35.1 g/dL, RDWv 44.4 fL, PlateletCount 314.9 10*3/uL, PDW 299.5 fL, MPV 9.8 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Depression screen, PHQ-9 screen, Dental referral"
193,187,"At 16 years, patient received dental consult and care including fluoride treatment with NaF 2.72% oral gel, scaling, bitewing x-rays, and oral health education.",2008-10-08,Dewitt635,2024-12-04,2024-12-04,5,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,57.03,66383009.0,Gingivitis (disorder),16,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
194,194,"At age 5, patient had a history of appendectomy; no current procedures, medications, or active conditions noted.",1968-06-12,Georgene966,1973-10-10,1973-10-11,6,inpatient,185347001,Encounter for problem (procedure),87.71,18064.74,0.0,74400008.0,Appendicitis (disorder),5,,H/o appendectomy,,
195,195,"At 18, underwent general examination; social factors include poor housing and pursuing higher education; no procedures or medications noted.",1968-06-12,Georgene966,1986-08-06,1986-08-06,6,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,"Poor housing, Higher ed",,
196,196,"At age 22, general examination revealed obesity with BMI over 30; no procedures or medications documented.",1968-06-12,Georgene966,1990-08-15,1990-08-15,6,wellness,162673000,General examination of patient (procedure),136.8,914.78,0.0,,,22,,Obesity BMI>30,,
197,197,"At age 25, general examination identified hypertension; no procedures or medications recorded.",1968-06-12,Georgene966,1993-08-18,1993-08-18,6,wellness,162673000,General examination of patient (procedure),136.8,1567.0,0.0,,,25,,HTN,,
198,198,"At age 33, general exam noted presence of a criminal record; no procedures, medications, or conditions listed.",1968-06-12,Georgene966,2001-10-03,2001-10-03,6,wellness,162673000,General examination of patient (procedure),136.8,1641.58,0.0,,,33,,Criminal record,,
199,199,Emergency admission at age 35 for emphysema and anemia; details of procedures and medications absent.,1968-06-12,Georgene966,2003-09-10,2003-09-10,6,emergency,50849002,Emergency room admission (procedure),146.18,10343.37,0.0,,,35,,"Emphysema, Anemia",,
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,185345009,Encounter for symptom (procedure),85.55,92.93,0.0,75498004.0,Acute bacterial sinusitis (disorder),38,,Chronic sinusitis,,
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,162673000,General examination of patient (procedure),136.8,4192.73,3295.16,,,40,,Med review due,,
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,162673000,General examination of patient (procedure),136.8,10516.75,8377.77,,,41,,"MetS, Prediabetes, Part-time employed","HCTZ 25mg tab, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI",
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,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),41,,,Errin 28d pack,
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,162673000,General examination of patient (procedure),136.8,4639.66,3615.56,,,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 109.3 mmol/L, TotalCO2Blood 23.5 mmol/L, TotalCholesterol 119.4 mg/dL, HDL 60.5 mg/dL, AutoWBCCount 9.9 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 16.4 g/dL, AutoHct 36.7 %, AutoMCV 88.1 fL, MCH 31.4 pg, MCHC 33.9 g/dL, RDWv 39.8 fL, PlateletCount 259.5 10*3/uL, PDW 283.7 fL, MPV 10.6 fL, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,4399.55,3519.64,103697008.0,Patient referral for dental care (procedure),42,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
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,698314001,Consultation for treatment (procedure),142.58,1250.85,1000.68,389095005.0,Contraception care (regime/therapy),42,,,1ml MPA 150mg/ml inj,IM inj
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,162673000,General examination of patient (procedure),136.8,14411.41,11529.12,,,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 105.0 mmol/L, TotalCO2Blood 23.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),43,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
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,698314001,Consultation for treatment (procedure),142.58,4052.91,3242.32,389095005.0,Contraception care (regime/therapy),43,,,Etonogestrel 68mg implant,SC contraceptive insert
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,162673000,General examination of patient (procedure),136.8,4138.11,3310.48,,,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 101.9 mmol/L, TotalCO2Blood 26.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
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,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),44,,,Jolivette 28d pack,
212,212,"At 44, IUD replacement performed; no medications or conditions indicated.",1968-06-12,Georgene966,2013-05-15,2013-05-15,6,outpatient,308335008,Patient encounter procedure (procedure),142.58,6430.81,5144.64,389095005.0,Contraception care (regime/therapy),44,,,,IUD replacement
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,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),44,,Viral sinusitis,Amox/Clav 250/125mg tab,
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,162673000,General examination of patient (procedure),136.8,5137.28,4066.59,,,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 110.7 mmol/L, TotalCO2Blood 28.2 mmol/L, TotalCholesterol 193.8 mg/dL, HDL 49.4 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,"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"
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,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),45,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
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,185347001,Encounter for problem (procedure),85.55,85.55,68.44,82423001.0,Chronic pain (finding),45,DrugScreen Negative (qualifier value) nan,"Chronic pain, Chronic LBP, Fibromyalgia",APAP 325mg tab (Tylenol),
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,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),45,,,Errin 28d pack,
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,162673000,General examination of patient (procedure),136.8,8991.46,7193.16,,,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 106.8 mmol/L, TotalCO2Blood 21.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),46,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
220,222,Contraceptive management continued with Errin 28-day pack at 46.,1968-06-12,Georgene966,2015-04-03,2015-04-03,6,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),46,,,Errin 28d pack,
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,185345009,Encounter for symptom (procedure),85.55,3536.75,2666.34,43878008.0,Streptococcal sore throat (disorder),47,BodyTemp 39.3 Cel,Strep throat,PCN VK 500mg tab,Throat culture
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,185349003,Encounter for check up (procedure),85.55,4086.86,3269.48,,,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 105.7 mmol/L, TotalCO2Blood 25.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"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"
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,162673000,General examination of patient (procedure),136.8,5492.05,4393.63,,,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 105.8 mmol/L, TotalCO2Blood 24.2 mmol/L, AutoWBCCount 4.4 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 15.5 g/dL, AutoHct 39.7 %, AutoMCV 92.9 fL, MCH 31.8 pg, MCHC 35.6 g/dL, RDWv 41.1 fL, PlateletCount 423.5 10*3/uL, PDW 228.7 fL, MPV 12.0 fL, SmokingStatus Never smoked tobacco (finding) nan",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"
224,243,Contraceptive treatment continued with Errin 28-day pack.,1968-06-12,Georgene966,2016-03-28,2016-03-28,6,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),47,,,Errin 28d 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,162673000,General examination of patient (procedure),136.8,13183.68,10546.94,,,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 101.1 mmol/L, TotalCO2Blood 23.2 mmol/L, TotalCholesterol 149.5 mg/dL, HDL 58.3 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),48,,Loose filling,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed"
227,252,Medication management included Jolivette 28-day contraceptive pack.,1968-06-12,Georgene966,2017-03-23,2017-03-23,6,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),48,,,Jolivette 28d 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,162673000,General examination of patient (procedure),136.8,10111.95,8089.56,,,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 105.3 mmol/L, TotalCO2Blood 26.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),49,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
230,276,"At 49, IUD removal performed; no medication or condition updates.",1968-06-12,Georgene966,2018-04-04,2018-04-04,6,outpatient,308335008,Patient encounter procedure (procedure),142.58,573.98,459.18,389095005.0,Contraception care (regime/therapy),49,,,,IUD removal
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,424441002,Prenatal initial visit (regime/therapy),142.58,9206.03,7364.82,72892002.0,Normal pregnancy (finding),49,,"Normal preg, 1st tri miscarriage, Blighted ovum",,"Preg test, Fetal viability US"
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,424619006,Prenatal visit (regime/therapy),142.58,1005.38,804.3,35999006.0,Blighted ovum (disorder),49,,H/o miscarriage,,"PE, Depression screen"
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,185349003,Encounter for check up (procedure),85.55,7259.46,5621.17,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
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,162673000,General examination of patient (procedure),136.8,4274.11,3419.28,,,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 104.9 mmol/L, TotalCO2Blood 23.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",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"
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,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),51,,Viral sinusitis,,
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,162673000,General examination of patient (procedure),136.8,14535.49,11628.38,,,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 107.3 mmol/L, TotalCO2Blood 20.1 mmol/L, TotalCholesterol 164.3 mg/dL, HDL 55.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185347001,Encounter for problem (procedure),85.55,6187.51,4949.98,88805009.0,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, AutoHct 34.9 %, AutoMCV 92.1 fL, MCH 31.5 pg, MCHC 34.9 g/dL, RDW 14.8 %, PlateletCount 269.0 10*3/uL, SerumGlucose 79.9 mg/dL, SerumBUN 12.1 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 136.9 mmol/L, SerumK 3.9 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 26.0 mmol/L, MDRDGFR 157.0 mL/min, SerumProtein 6.2 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 95.2 U/L, ALT 24.9 U/L, AST 22.2 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 172.3 mg/dL, HDL 49.0 mg/dL, HbA1c 5.9 %, hsTnI 0.0 pg/mL, Ferritin 106.7 ug/L, Iron 61.3 ug/dL, TIBC 383.7 ug/dL, IronSat 31.8 %, NYHAClass Class II nan, NYHAAssessment Objective evidence of severe cardiovascular disease nan",Chronic CHF,,"ECG, CXR, NYHA class assess"
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,185347001,Encounter for problem (procedure),85.55,910.9,728.71,88805009.0,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",,"Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab","Echo, Med rec"
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,185347001,Encounter for problem (procedure),87.71,7266.34,5626.65,88805009.0,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/dL, SerumNa 137.9 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 128.7 mL/min, SerumProtein 6.0 g/dL, AlbuminMass 4.1 g/dL, TotalBilirubin 0.6 mg/dL, AlkPhosActivity 77.0 U/L, ALT 0.5 U/L, AST 32.1 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 185.1 mg/dL, HDL 53.6 mg/dL, HbA1c 6.2 %, hsTnI 0.0 pg/mL, Ferritin 109.3 ug/L, Iron 131.7 ug/dL, TIBC 329.3 ug/dL, IronSat 36.8 %",,,"O2 mask, Prone position, CXR"
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,305351004,Admission to intensive care unit (procedure),146.18,14574.33,11659.24,88805009.0,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, SerumCalcium 8.7 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 128.7 mL/min, SerumProtein 8.3 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.6 mg/dL, AlkPhosActivity 42.1 U/L, ALT 10.2 U/L, AST 37.4 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 185.1 mg/dL, HDL 53.6 mg/dL, HbA1c 6.2 %, hsTnI 0.0 pg/mL, Ferritin 39.7 ug/L, Iron 144.0 ug/dL, TIBC 290.7 ug/dL, IronSat 16.2 %, SaO2 80.0 %, Weight 81.3 kg, NTproBNP 1434.3 pg/mL, AutoWBCCount 4.7 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 12.2 g/dL, AutoHct 42.6 %, AutoMCV 88.7 fL, MCH 31.9 pg, MCHC 35.6 g/dL, RDW 12.7 %, PlateletCount 398.6 10*3/uL, SerumGlucose 72.7 mg/dL, SerumBUN 18.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 128.7 mL/min, SerumProtein 6.7 g/dL, AlbuminMass 4.3 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 88.9 U/L, ALT 12.8 U/L, AST 33.9 U/L, SerumMagnesium 2.1 mg/dL, TotalCholesterol 185.1 mg/dL, HDL 53.6 mg/dL, HbA1c 6.2 %, hsTnI 0.0 pg/mL, Ferritin 92.0 ug/L, Iron 112.9 ug/dL, TIBC 419.7 ug/dL, IronSat 39.7 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 1691.8 pg/mL, AutoWBCCount 6.5 10*3/uL, AutoRBCCount 5.6 10*6/uL, BloodHgb 11.9 g/dL, AutoHct 41.9 %, AutoMCV 89.0 fL, MCH 27.6 pg, MCHC 35.7 g/dL, RDW 14.1 %, PlateletCount 308.2 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 40.5 U/L, ALT 30.0 U/L, AST 17.8 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 112.2 ug/L, Iron 149.2 ug/dL, TIBC 396.4 ug/dL, IronSat 46.7 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 1553.8 pg/mL, AutoWBCCount 10.4 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 11.3 g/dL, AutoHct 36.3 %, AutoMCV 95.9 fL, MCH 28.6 pg, MCHC 32.9 g/dL, RDW 14.3 %, PlateletCount 376.1 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.7 g/dL, AlbuminMass 4.7 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 116.3 U/L, ALT 24.5 U/L, AST 33.5 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 50.1 ug/L, Iron 146.8 ug/dL, TIBC 321.6 ug/dL, IronSat 53.1 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 749.9 pg/mL, AutoWBCCount 6.6 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 15.1 g/dL, AutoHct 44.1 %, AutoMCV 82.3 fL, MCH 29.0 pg, MCHC 33.4 g/dL, RDW 14.6 %, PlateletCount 169.3 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.1 g/dL, AlbuminMass 4.7 g/dL, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 79.0 U/L, ALT 28.8 U/L, AST 27.4 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 132.9 ug/L, Iron 55.1 ug/dL, TIBC 357.5 ug/dL, IronSat 53.9 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 722.3 pg/mL, AutoWBCCount 9.7 10*3/uL, AutoRBCCount 5.5 10*6/uL, BloodHgb 15.2 g/dL, AutoHct 39.4 %, AutoMCV 91.1 fL, MCH 27.4 pg, MCHC 33.9 g/dL, RDW 15.0 %, PlateletCount 330.8 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.6 g/dL, AlbuminMass 4.3 g/dL, TotalBilirubin 0.7 mg/dL, AlkPhosActivity 103.0 U/L, ALT 16.6 U/L, AST 34.2 U/L, SerumMagnesium 1.8 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 110.2 ug/L, Iron 126.0 ug/dL, TIBC 341.0 ug/dL, IronSat 18.8 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 442.9 pg/mL, AutoWBCCount 6.4 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.5 g/dL, AutoHct 39.7 %, AutoMCV 92.7 fL, MCH 30.3 pg, MCHC 35.1 g/dL, RDW 15.4 %, PlateletCount 441.4 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.0 g/dL, AlbuminMass 4.8 g/dL, TotalBilirubin 0.4 mg/dL, AlkPhosActivity 49.7 U/L, ALT 29.0 U/L, AST 14.2 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 82.3 ug/L, Iron 99.9 ug/dL, TIBC 339.3 ug/dL, IronSat 41.9 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 1357.5 pg/mL, AutoWBCCount 6.1 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 16.0 g/dL, AutoHct 39.1 %, AutoMCV 91.3 fL, MCH 32.7 pg, MCHC 35.3 g/dL, RDW 13.4 %, PlateletCount 360.5 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 4.3 g/dL, TotalBilirubin 0.6 mg/dL, AlkPhosActivity 116.8 U/L, ALT 3.4 U/L, AST 20.7 U/L, SerumMagnesium 2.3 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 74.6 ug/L, Iron 47.0 ug/dL, TIBC 368.6 ug/dL, IronSat 49.1 %, SaO2 76.0 %, Weight 81.3 kg, NTproBNP 1002.2 pg/mL, AutoWBCCount 4.3 10*3/uL, AutoRBCCount 5.7 10*6/uL, BloodHgb 11.5 g/dL, AutoHct 46.6 %, AutoMCV 91.8 fL, MCH 27.7 pg, MCHC 34.5 g/dL, RDW 14.0 %, PlateletCount 336.8 10*3/uL, SerumGlucose 91.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 0.8 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 155.7 mL/min, SerumProtein 6.6 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 0.9 mg/dL, AlkPhosActivity 77.9 U/L, ALT 19.9 U/L, AST 18.3 U/L, SerumMagnesium 1.6 mg/dL, TotalCholesterol 170.5 mg/dL, HDL 48.9 mg/dL, HbA1c 6.3 %, hsTnI 0.0 pg/mL, Ferritin 56.7 ug/L, Iron 115.2 ug/dL, TIBC 419.2 ug/dL, IronSat 32.6 %",,"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 Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj","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"
241,339," ""Patient passed away at age 52; death certification completed.""",1968-06-12,Georgene966,2020-10-07,2020-10-07,6,wellness,308646001,Death Certification,136.8,211.38,169.1,88805009.0,Chronic congestive heart failure (disorder),52,DeathCause Chronic congestive heart failure (disorder) nan,,,
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,162673000,General examination of patient (procedure),136.8,704.2,554.2,,,18,,HS education,,
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,185347001,Encounter for problem (procedure),85.55,1379.75,1329.75,37320007.0,Loss of teeth (disorder),26,,Tooth loss,,
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,162673000,General examination of patient (procedure),136.8,994.48,844.48,,,31,,"Obesity BMI>30, Limited social contact",,
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,185349003,Encounter for check up (procedure),85.55,652.95,602.95,,,31,,"Med review due, 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,162673000,General examination of patient (procedure),136.8,998.38,848.38,,,34,,"Prediabetes, Anemia",,
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,185347001,Encounter for problem (procedure),85.55,1092.84,1042.84,271737000.0,Anemia (disorder),34,,,Vit B12 5mg/ml inj soln,
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,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),40,,Chronic migraine,,
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),40,,Chronic pain,,
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,185347001,Encounter for problem (procedure),85.55,85.55,35.55,239873007.0,Osteoarthritis of knee (disorder),40,,Knee OA,Naproxen Na 220mg tab,
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,182813001,Emergency treatment (procedure),146.18,20365.4,20315.4,196416002.0,Impacted molars (disorder),40,,Impacted molars,,
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,162673000,General examination of patient (procedure),136.8,996.16,846.16,,,42,,Social isolation,,
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),42,PainScore 6.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),42,PainScore 9.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),42,PainScore 7.0 {score},,APAP 325mg/Oxycodone 5mg tab,
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),42,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,182813001,Emergency treatment (procedure),146.18,8919.36,8869.36,196416002.0,Impacted molars (disorder),42,PainScore 4.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,182813001,Emergency treatment (procedure),146.18,146.18,0.0,124171000119105.0,Chronic intractable migraine without aura (disorder),43,PainScore 5.0 {score},,APAP 325mg/Oxycodone 5mg tab,
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,182813001,Emergency treatment (procedure),146.18,5308.14,5254.32,196416002.0,Impacted molars (disorder),43,PainScore 6.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,162673000,General examination of patient (procedure),136.8,1104.93,954.93,,,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, TotalCO2Blood 22.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Stress,,"Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
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,185349003,Encounter for check up (procedure),85.55,5262.35,5212.35,103697008.0,Patient referral for dental care (procedure),44,,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"
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,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),44,PainScore 6.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),44,PainScore 5.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
264,249,Another wisdom tooth extraction emergency at 44 with pain medications.,1950-04-15,Micheal721,1995-04-05,1995-04-05,7,emergency,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),44,PainScore 8.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,182813001,Emergency treatment (procedure),146.18,15722.36,15572.36,196416002.0,Impacted molars (disorder),45,PainScore 7.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),45,PainScore 6.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,185345009,Encounter for symptom (procedure),85.55,3536.75,3486.75,43878008.0,Streptococcal sore throat (disorder),45,BodyTemp 37.8 Cel,Strep throat,PCN VK 500mg tab,Throat culture
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),45,PainScore 6.0 {score},,AD 12hr Oxycodone 15mg ER tab,
269,256,Emergency wisdom tooth extraction at 45 with pain control meds.,1950-04-15,Micheal721,1995-12-14,1995-12-14,7,emergency,182813001,Emergency treatment (procedure),146.18,20794.05,20744.05,196416002.0,Impacted molars (disorder),45,PainScore 8.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,50849002,Emergency room admission (procedure),146.18,146.18,96.18,384709000.0,Sprain (morphologic abnormality),45,,"Sprain, Wrist sprain",Ibuprofen 200mg tab,
271,258,Emergency treatment providing acetaminophen/oxycodone combination tablets.,1950-04-15,Micheal721,1996-03-20,1996-03-20,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),45,PainScore 8.0 {score},,APAP 325mg/Oxycodone 5mg tab,
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,162673000,General examination of patient (procedure),136.8,1150.44,1000.44,,,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, TotalCO2Blood 22.6 mmol/L, TotalCholesterol 132.6 mg/dL, HDL 56.2 mg/dL, AutoWBCCount 3.8 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 15.2 g/dL, AutoHct 41.6 %, AutoMCV 85.2 fL, MCH 28.0 pg, MCHC 34.1 g/dL, RDWv 41.5 fL, PlateletCount 396.2 10*3/uL, PDW 485.4 fL, MPV 11.5 fL, SmokingStatus Never smoked tobacco (finding) nan","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"
273,260,Wisdom tooth extraction at 46 with opioid analgesic use.,1950-04-15,Micheal721,1996-05-10,1996-05-10,7,emergency,182813001,Emergency treatment (procedure),146.18,15814.22,15764.22,196416002.0,Impacted molars (disorder),46,PainScore 4.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,66383009.0,Gingivitis (disorder),46,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
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,390906007,Follow-up encounter (procedure),85.55,85.55,35.55,59621000.0,Essential hypertension (disorder),46,"DBP 75.0 mm[Hg], SBP 133.0 mm[Hg]",,HCTZ 25mg tab,
276,264,Repeat emergency wisdom tooth extraction with analgesics.,1950-04-15,Micheal721,1996-08-13,1996-08-13,7,emergency,182813001,Emergency treatment (procedure),146.18,9690.62,9640.62,196416002.0,Impacted molars (disorder),46,PainScore 8.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
277,265,Another wisdom tooth extraction emergency at 46 with pain medication.,1950-04-15,Micheal721,1997-01-15,1997-01-15,7,emergency,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),46,PainScore 4.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,50849002,Emergency room admission (procedure),146.18,10124.64,10074.64,125605004.0,Fracture of bone (disorder),46,,"Bone fx, Rib fx",APAP 325mg tab,"CXR, Bone immob"
279,267,Emergency treatment included wisdom tooth extraction with APAP/hydrocodone analgesics.,1950-04-15,Micheal721,1997-03-21,1997-03-21,7,emergency,182813001,Emergency treatment (procedure),146.18,20794.05,20744.05,196416002.0,Impacted molars (disorder),46,PainScore 5.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,162673000,General examination of patient (procedure),136.8,1002.59,852.59,,,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, TotalCO2Blood 23.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
281,269,Wisdom tooth extraction emergency at 47 with pain medication.,1950-04-15,Micheal721,1997-05-11,1997-05-11,7,emergency,182813001,Emergency treatment (procedure),146.18,20794.05,20744.05,196416002.0,Impacted molars (disorder),47,PainScore 4.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
282,270,Routine 47-year dental check with scaling and education.,1950-04-15,Micheal721,1997-05-24,1997-05-24,7,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,66383009.0,Gingivitis (disorder),47,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
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,185349003,Encounter for check up (procedure),85.55,85.55,35.55,33737001.0,Fracture of rib (disorder),47,,,,
284,272,Hospital admission at 47 involving extended release oxycodone for pain.,1950-04-15,Micheal721,1997-09-06,1997-09-06,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),47,PainScore 8.0 {score},,AD 12hr Oxycodone 15mg ER tab,
285,273,Emergency treatment providing acetaminophen/oxycodone tablets.,1950-04-15,Micheal721,1997-11-12,1997-11-12,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),47,PainScore 5.0 {score},,APAP 325mg/Oxycodone 5mg tab,
286,274,Repeated hospital admission at 47 with oxycodone ER.,1950-04-15,Micheal721,1997-12-19,1997-12-19,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),47,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),47,PainScore 8.0 {score},,AD 12hr Oxycodone 15mg ER tab,
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,162673000,General examination of patient (procedure),136.8,785.58,635.58,,,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, TotalCO2Blood 23.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","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"
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,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,103697008.0,Patient referral for dental care (procedure),48,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
290,291,Emergency treatment at 48 including acetaminophen/oxycodone tablets.,1950-04-15,Micheal721,1998-09-23,1998-09-23,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),48,PainScore 6.0 {score},,APAP 325mg/Oxycodone 5mg tab,
291,293,Hospital admission with strong pain medication at 48.,1950-04-15,Micheal721,1998-11-13,1998-11-13,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),48,PainScore 8.0 {score},,AD 12hr Oxycodone 15mg ER tab,
292,295,Emergency wisdom tooth extraction at 49 with adequate pain control.,1950-04-15,Micheal721,1999-05-06,1999-05-06,7,emergency,182813001,Emergency treatment (procedure),146.18,5308.14,5158.14,196416002.0,Impacted molars (disorder),49,PainScore 5.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
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,162673000,General examination of patient (procedure),136.8,853.36,803.36,,,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, TotalCO2Blood 20.3 mmol/L, TotalCholesterol 147.9 mg/dL, HDL 55.3 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Social isolation, Stress, Gingivitis","HCTZ 25mg tab, Lisinopril 10mg tab","Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral"
294,299,"At 49, extensive dental procedures performed for gum disease.",1950-04-15,Micheal721,1999-06-05,1999-06-05,7,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,4780.95,66383009.0,Gingivitis (disorder),49,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
295,301,Emergency wisdom tooth extraction with pain medication at 49.,1950-04-15,Micheal721,1999-07-10,1999-07-10,7,emergency,182813001,Emergency treatment (procedure),146.18,20794.05,20744.05,196416002.0,Impacted molars (disorder),49,PainScore 6.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
296,304,Repeat emergency wisdom tooth extraction with analgesics.,1950-04-15,Micheal721,1999-08-16,1999-08-16,7,emergency,182813001,Emergency treatment (procedure),146.18,17577.25,17527.25,196416002.0,Impacted molars (disorder),49,PainScore 7.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
297,305,Dental consult with bitewing and impressions performed for dental prosthetics.,1950-04-15,Micheal721,1999-09-06,1999-09-06,7,ambulatory,185347001,Encounter for problem (procedure),85.55,1379.75,1329.75,37320007.0,Loss of teeth (disorder),49,,,,"Dental consult, Dental bitewing, Dental impression"
298,306,Follow-up encounter for denture fitting at 49.,1950-04-15,Micheal721,1999-09-20,1999-09-21,7,ambulatory,390906007,Follow-up encounter (procedure),85.55,516.95,466.95,37320007.0,Loss of teeth (disorder),49,,,,Denture fitting
299,307,Emergency treatment for pain with acetaminophen/oxycodone tablets.,1950-04-15,Micheal721,2000-01-04,2000-01-04,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),49,PainScore 5.0 {score},,APAP 325mg/Oxycodone 5mg tab,
300,308,Hospital admission for pain management using oxycodone ER.,1950-04-15,Micheal721,2000-02-10,2000-02-10,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),49,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
301,309," ""Routine check-up at 50 included colonoscopy; no conditions or medications noted.""",1950-04-15,Micheal721,2000-04-15,2000-04-15,7,ambulatory,185349003,Encounter for check up (procedure),85.55,18453.49,18303.49,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
302,310,"General exam at 50 with social and depression assessments; patient not in workforce, on antihypertensive meds.",1950-04-15,Micheal721,2000-05-27,2000-05-27,7,wellness,162673000,General examination of patient (procedure),136.8,778.78,728.78,,,50,"HbA1c 5.9 %, Height 193.3 cm, PainScore 4.0 {score}, Weight 111.4 kg, BMI 29.8 kg/m2, DBP 67.0 mm[Hg], SBP 120.0 mm[Hg], HR 89.0 /min, RR 13.0 /min, BloodGlucose 70.8 mg/dL, BloodBUN 12.7 mg/dL, BloodCreatinine 1.8 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 140.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 102.2 mmol/L, TotalCO2Blood 23.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,"HCTZ 25mg tab, Lisinopril 10mg tab","Health/social needs assess, Depression screen, Depression screen"
303,311,Emergency wisdom tooth extraction at 50 with opioid analgesics.,1950-04-15,Micheal721,2000-06-23,2000-06-23,7,emergency,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),50,PainScore 4.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
304,314,Repeat emergency wisdom tooth extraction with pain control.,1950-04-15,Micheal721,2000-09-17,2000-09-17,7,emergency,182813001,Emergency treatment (procedure),146.18,16280.65,16230.65,196416002.0,Impacted molars (disorder),50,PainScore 7.0 {score},,APAP 300mg/Hydrocodone 5mg tab,Wisdom tooth ext
305,315,Hospital admission with oxycodone ER for pain.,1950-04-15,Micheal721,2000-11-07,2000-11-07,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),50,PainScore 8.0 {score},,AD 12hr Oxycodone 15mg ER tab,
306,316,Additional hospital admission at 50 continuing with oxycodone ER.,1950-04-15,Micheal721,2000-12-21,2000-12-21,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),50,PainScore 6.0 {score},,AD 12hr Oxycodone 15mg ER tab,
307,317,Emergency treatment with acetaminophen/oxycodone tablets at 51.,1950-04-15,Micheal721,2001-04-18,2001-04-18,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),51,PainScore 5.0 {score},,APAP 325mg/Oxycodone 5mg tab,
308,320,Hospital admission at 51 with ongoing pain meds oxycodone ER.,1950-04-15,Micheal721,2001-05-25,2001-05-25,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,0.0,82423001.0,Chronic pain (finding),51,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
309,321,"General examination with anxiety and domestic abuse screenings, patient unemployed at 51, on antihypertensives.",1950-04-15,Micheal721,2001-06-02,2001-06-02,7,wellness,162673000,General examination of patient (procedure),136.8,996.16,883.87,,,51,"HbA1c 5.9 %, Height 193.3 cm, PainScore 2.0 {score}, Weight 113.4 kg, BMI 30.4 kg/m2, DBP 69.0 mm[Hg], SBP 125.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, BloodGlucose 81.5 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 1.5 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 140.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 107.9 mmol/L, TotalCO2Blood 22.3 mmol/L, AutoWBCCount 9.0 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 12.2 g/dL, AutoHct 47.3 %, AutoMCV 86.5 fL, MCH 30.7 pg, MCHC 34.1 g/dL, RDWv 45.7 fL, PlateletCount 339.5 10*3/uL, PDW 429.9 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan",Unemployed,"HCTZ 25mg tab, Lisinopril 10mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen"
310,322,Emergency hospital admission with oxycodone ER at 51.,1950-04-15,Micheal721,2001-07-08,2001-07-08,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),51,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
311,323,Emergency treatment with acetaminophen/oxycodone tablets.,1950-04-15,Micheal721,2001-10-13,2001-10-13,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),51,PainScore 7.0 {score},,APAP 325mg/Oxycodone 5mg tab,
312,324,Repeated emergency treatment with combination analgesics.,1950-04-15,Micheal721,2002-01-16,2002-01-16,7,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),51,PainScore 7.0 {score},,APAP 325mg/Oxycodone 5mg tab,
313,325,Additional hospital admission at 51 with oxycodone ER.,1950-04-15,Micheal721,2002-04-14,2002-04-14,7,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),51,PainScore 7.0 {score},,AD 12hr Oxycodone 15mg ER tab,
314,326,"General exam at 52 focusing on health/social needs, patient diagnosed with metabolic syndrome, maintains antihypertensives.",1950-04-15,Micheal721,2002-06-08,2002-06-08,7,wellness,162673000,General examination of patient (procedure),136.8,860.16,710.16,,,52,"HbA1c 6.4 %, Height 193.3 cm, PainScore 2.0 {score}, Weight 105.3 kg, BMI 28.2 kg/m2, DBP 67.0 mm[Hg], SBP 118.0 mm[Hg], HR 71.0 /min, RR 16.0 /min, BloodGlucose 98.6 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 143.3 mmol/L, BloodK 4.9 mmol/L, BloodChloride 105.3 mmol/L, TotalCO2Blood 23.6 mmol/L, TotalCholesterol 191.6 mg/dL, HDL 46.8 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",MetS,"HCTZ 25mg tab, Lisinopril 10mg tab",Health/social needs assess
315,327,Emergency room admission due to drug overdose at 52.,1950-04-15,Micheal721,2002-06-09,2002-06-09,7,emergency,50849002,Emergency room admission (procedure),146.18,146.18,96.18,55680006.0,Drug overdose,52,,Drug OD,,
316,330,Patient deceased at age 52; no further details recorded.,1950-04-15,Micheal721,2002-06-22,2002-06-22,7,wellness,308646001,Death Certification,136.8,211.38,161.38,55680006.0,Drug overdose,52,DeathCause Drug overdose nan,,,
317,279,General examination at age 18 with no procedures or medications noted. Patient has a history of primary education only.,1956-04-12,Nina110,1974-06-07,1974-06-07,8,wellness,162673000,General examination of patient (procedure),136.8,1567.0,0.0,,,18,,Primary ed only,,
318,281,"At age 22, patient noted to have obesity with BMI>30 during routine general exam. No procedures or medications recorded.",1956-04-12,Nina110,1978-06-16,1978-06-16,8,wellness,162673000,General examination of patient (procedure),136.8,994.48,0.0,,,22,,Obesity BMI>30,,
319,282,"General exam at age 25 noted with mention of criminal record. No procedures, medications, or conditions noted.",1956-04-12,Nina110,1981-06-19,1981-06-19,8,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,25,,Criminal record,,
320,283,Patient admitted to surgical department at 25 with history of tubal procedure. No medications or additional procedures noted.,1956-04-12,Nina110,1981-12-31,1982-01-01,8,inpatient,305408004,Admission to surgical department (procedure),146.18,7029.52,0.0,183996000.0,Sterilization requested (situation),25,,H/o tubal,,
321,284,General examination at age 48 revealed prediabetes. No medications or procedures noted.,1956-04-12,Nina110,2004-05-07,2004-05-07,8,wellness,162673000,General examination of patient (procedure),136.8,849.22,0.0,,,48,,Prediabetes,,
322,285,"Evaluation noted hypertension, prescribed HCTZ 25mg. Patient is unemployed and history of intimate partner violence (IPV) reported.",1956-04-12,Nina110,2007-04-20,2007-04-20,8,wellness,162673000,General examination of patient (procedure),136.8,1347.2,0.0,,,51,,"HTN, Unemployed, IPV",HCTZ 25mg tab,
323,289,Follow-up visit with Lisinopril 10mg prescribed for hypertension.,1956-04-12,Nina110,2007-05-20,2007-05-20,8,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),51,,,Lisinopril 10mg tab,
324,290,Follow-up encounter; patient on Amlodipine 2.5mg for blood pressure control.,1956-04-12,Nina110,2007-07-19,2007-07-19,8,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,50.78,59621000.0,Essential hypertension (disorder),51,"DBP 92.0 mm[Hg], SBP 117.0 mm[Hg]",,Amlodipine 2.5mg tab,
325,292,,1956-04-12,Nina110,2007-09-17,2007-09-17,8,ambulatory,390906007,Follow-up encounter (procedure),85.55,516.95,413.56,59621000.0,Essential hypertension (disorder),51,"DBP 83.0 mm[Hg], SBP 107.0 mm[Hg]",,,HTN clinic referral
326,294,Comprehensive assessment including mental health and dental screening. On multiple antihypertensives. Anemia and social factors documented.,1956-04-12,Nina110,2008-04-25,2008-04-25,8,wellness,162673000,General examination of patient (procedure),136.8,853.36,0.0,,,52,"HbA1c 5.9 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 101.4 kg, BMI 36.8 kg/m2, DBP 80.0 mm[Hg], SBP 110.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 78.9 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 1.7 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.5 mmol/L, BloodK 5.1 mmol/L, BloodChloride 104.9 mmol/L, TotalCO2Blood 21.3 mmol/L, AutoWBCCount 6.0 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 16.1 g/dL, AutoHct 37.5 %, AutoMCV 90.1 fL, MCH 29.6 pg, MCHC 33.2 g/dL, RDWv 39.1 fL, PlateletCount 335.3 10*3/uL, PDW 487.0 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Anemia, Part-time employed, Limited social contact, Gingivitis","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
327,303,"Problem focused encounter including review of systems, peripheral smear interpretation, and medication reconciliation.",1956-04-12,Nina110,2008-05-02,2008-05-02,8,ambulatory,185347001,Encounter for problem (procedure),85.55,1067.79,372.7,271737000.0,Anemia (disorder),52,"BloodHgb 11.1 g/dL, BloodHct 34.4 %, AutoWBCCount 8.0 10*3/uL, AutoRBCCount 5.4 10*6/uL, AutoMCV 84.1 fL, MCH 31.3 pg, MCHC 36.0 g/dL, RDWv 44.5 fL, PlateletCount 397.5 10*3/uL, PDW 503.4 fL, MPV 11.5 fL",,,"Periph smear interp, ROS, Med rec, Brief exam"
328,312,"Dental evaluation for gum disease, including extensive dental procedures and education.",1956-04-12,Nina110,2008-05-16,2008-05-16,8,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),52,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
329,318,General exam with focus on mental health and social factors. Medications for hypertension continued. Patient reports work-related stress.,1956-04-12,Nina110,2009-05-01,2009-05-01,8,wellness,162673000,General examination of patient (procedure),136.8,1149.14,0.0,,,53,"HbA1c 5.9 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 81.0 mm[Hg], SBP 104.0 mm[Hg], HR 60.0 /min, RR 15.0 /min, BloodGlucose 72.0 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 141.9 mmol/L, BloodK 3.9 mmol/L, BloodChloride 103.5 mmol/L, TotalCO2Blood 23.2 mmol/L, TotalCholesterol 169.2 mg/dL, HDL 60.1 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess, Dental referral"
330,328,Routine dental care and oral health education provided.,1956-04-12,Nina110,2009-05-15,2009-05-15,8,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,1893.96,103697008.0,Patient referral for dental care (procedure),53,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
331,329,Continued health and social needs assessment with medication review due.,1956-04-12,Nina110,2010-05-07,2010-05-07,8,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,54,"HbA1c 6.3 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 85.0 mm[Hg], SBP 99.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, BloodGlucose 78.2 mg/dL, BloodBUN 14.8 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 137.2 mmol/L, BloodK 4.6 mmol/L, BloodChloride 108.5 mmol/L, TotalCO2Blood 21.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen"
332,331,Colonoscopy performed as part of routine check up.,1956-04-12,Nina110,2011-04-21,2011-04-21,8,ambulatory,185349003,Encounter for check up (procedure),85.55,5138.45,2944.36,275978004.0,Screening for malignant neoplasm of colon (procedure),55,,,,Colonoscopy
333,332,General exam with mental health screening and dental referral. Reports part-time employment and stress.,1956-04-12,Nina110,2011-05-13,2011-05-13,8,wellness,162673000,General examination of patient (procedure),136.8,778.78,623.02,,,55,"HbA1c 6.2 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 81.0 mm[Hg], SBP 105.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, BloodGlucose 74.6 mg/dL, BloodBUN 11.9 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.5 mmol/L, BloodK 4.3 mmol/L, BloodChloride 106.6 mmol/L, TotalCO2Blood 20.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Dental referral"
334,333,Dental care for dental caries with full cusp coverage and oral health education.,1956-04-12,Nina110,2011-05-27,2011-05-27,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),55,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed"
335,334,Emergency care for facial laceration requiring wound suturing and acetaminophen for pain management.,1956-04-12,Nina110,2011-12-23,2011-12-23,8,emergency,50849002,Emergency room admission (procedure),146.18,7217.67,5774.13,312608009.0,Laceration - injury (disorder),55,,"Lac, Facial lac",APAP 325mg tab,Wound suture
336,335,Chronic kidney disease and diabetic nephropathy noted with ongoing medication including insulin. Patient employed full-time.,1956-04-12,Nina110,2012-05-18,2012-05-18,8,wellness,162673000,General examination of patient (procedure),136.8,1218.22,0.0,,,56,"SerumGlucose 79.7 mg/dL, SerumBUN 13.8 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 63.9 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.1 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 331.4 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 6.0 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 81.0 mm[Hg], SBP 107.0 mm[Hg], HR 84.0 /min, RR 16.0 /min, BloodGlucose 79.7 mg/dL, BloodBUN 13.8 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 141.2 mmol/L, BloodK 4.0 mmol/L, BloodChloride 107.2 mmol/L, TotalCO2Blood 20.8 mmol/L, TotalCholesterol 160.2 mg/dL, HDL 56.8 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","CKD stage 2, Diabetic nephropathy, Diabetic microalbumin, Full-time employed","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, 70/30 insulin 100u/ml susp (Humulin)","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
337,336,Progression of CKD to stage 3 with diabetic proteinuria. Mental health and social assessment included.,1956-04-12,Nina110,2013-01-25,2013-01-25,8,outpatient,185349003,Encounter for check up (procedure),85.55,1092.39,873.9,,,56,"SerumGlucose 83.0 mg/dL, SerumBUN 8.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 137.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.7 mmol/L, TotalCO2Serum 28.4 mmol/L, MDRDGFR 58.6 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 375.6 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 3.1 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 83.0 mm[Hg], SBP 103.0 mm[Hg], HR 90.0 /min, RR 13.0 /min, BloodGlucose 83.0 mg/dL, BloodBUN 8.4 mg/dL, BloodCreatinine 5.5 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 137.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 108.7 mmol/L, TotalCO2Blood 28.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, CKD stage 3, Diabetic proteinuria, Limited social contact, Stress","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
338,337,"Treatment for acute bronchitis given, including symptomatic medication.",1956-04-12,Nina110,2013-02-14,2013-02-14,8,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,10509002.0,Acute bronchitis (disorder),56,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,
339,338,ER admission with full medication review and social/mental health screening; patient currently unemployed.,1956-04-12,Nina110,2013-02-22,2013-02-22,8,emergency,50849002,Emergency room admission (procedure),146.18,1664.12,1331.28,,,56,"SerumGlucose 94.1 mg/dL, SerumBUN 16.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 110.5 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 48.0 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 382.9 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 3.0 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 80.0 mm[Hg], SBP 101.0 mm[Hg], HR 80.0 /min, RR 12.0 /min, BloodGlucose 94.1 mg/dL, BloodBUN 16.0 mg/dL, BloodCreatinine 4.3 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 137.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 21.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Unemployed","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
340,340,Emergency admission with medication review due.,1956-04-12,Nina110,2013-03-01,2013-03-01,8,emergency,50849002,Emergency room admission (procedure),146.18,295.34,236.26,,,56,"SerumGlucose 81.3 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 138.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 27.1 mmol/L, MDRDGFR 55.2 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 360.1 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 3.3 %",Med review due,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",
341,341,"Urgent care visit with mental health and social needs assessment, dental referral for gingivitis.",1956-04-12,Nina110,2013-03-08,2013-03-08,8,urgentcare,702927004,Urgent care clinic (environment),142.58,1660.52,1328.4,,,56,"SerumGlucose 65.0 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 136.3 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.1 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 54.3 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 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 234.6 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 2.8 %, Height 166.0 cm, PainScore 0.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 82.0 mm[Hg], SBP 119.0 mm[Hg], HR 67.0 /min, RR 14.0 /min, BloodGlucose 65.0 mg/dL, BloodBUN 18.2 mg/dL, BloodCreatinine 6.6 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 136.3 mmol/L, BloodK 4.0 mmol/L, BloodChloride 109.1 mmol/L, TotalCO2Blood 28.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,"70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
342,342,Comprehensive dental care provided with fluoride treatment.,1956-04-12,Nina110,2013-03-22,2013-03-22,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),56,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
343,343,Ongoing medication and mental health monitoring. Patient reports stress.,1956-04-12,Nina110,2013-04-26,2013-04-26,8,outpatient,185349003,Encounter for check up (procedure),85.55,1090.82,115.1,,,57,"SerumGlucose 80.8 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.4 mmol/L, SerumK 4.5 mmol/L, SerumChloride 103.8 mmol/L, TotalCO2Serum 26.3 mmol/L, MDRDGFR 43.8 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 334.3 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 2.9 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 91.0 mm[Hg], SBP 101.0 mm[Hg], HR 66.0 /min, RR 15.0 /min, BloodGlucose 80.8 mg/dL, BloodBUN 16.9 mg/dL, BloodCreatinine 4.9 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 103.8 mmol/L, TotalCO2Blood 26.3 mmol/L, AutoWBCCount 10.4 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 17.4 g/dL, AutoHct 40.8 %, AutoMCV 85.3 fL, MCH 29.3 pg, MCHC 35.7 g/dL, RDWv 39.1 fL, PlateletCount 285.2 10*3/uL, PDW 234.0 fL, MPV 9.9 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
344,344,Routine dental visit including fluoride application.,1956-04-12,Nina110,2013-05-10,2013-05-10,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),57,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
345,345,General exam with continued monitoring of gingivitis and mental health.,1956-04-12,Nina110,2013-05-24,2013-05-24,8,wellness,162673000,General examination of patient (procedure),136.8,1329.96,1063.96,,,57,"SerumGlucose 74.4 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.0 mmol/L, SerumK 4.8 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 49.9 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 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 273.9 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 3.0 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 82.0 mm[Hg], SBP 101.0 mm[Hg], HR 73.0 /min, RR 13.0 /min, BloodGlucose 74.4 mg/dL, BloodBUN 19.6 mg/dL, BloodCreatinine 5.2 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 139.0 mmol/L, BloodK 4.8 mmol/L, BloodChloride 105.3 mmol/L, TotalCO2Blood 26.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis","70/30 insulin 100u/ml susp (Humulin), HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
346,346,Assessment for chronic congestive heart failure; cardiovascular investigations including ECG and chest X-ray performed.,1956-04-12,Nina110,2013-05-28,2013-05-28,8,ambulatory,185347001,Encounter for problem (procedure),85.55,6785.18,5428.11,88805009.0,Chronic congestive heart failure (disorder),57,"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 102.8 kg, NTproBNP 1196.1 pg/mL, AutoWBCCount 5.1 10*3/uL, AutoRBCCount 3.8 10*6/uL, BloodHgb 12.9 g/dL, AutoHct 42.8 %, AutoMCV 83.1 fL, MCH 28.0 pg, MCHC 31.6 g/dL, RDW 14.3 %, PlateletCount 433.2 10*3/uL, SerumGlucose 89.1 mg/dL, SerumBUN 8.1 mg/dL, SerumCreatinine 3.8 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 140.2 mmol/L, SerumK 3.9 mmol/L, SerumChloride 107.4 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 26.4 mL/min, SerumProtein 8.3 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 0.8 mg/dL, AlkPhosActivity 46.9 U/L, ALT 36.7 U/L, AST 6.9 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 186.8 mg/dL, HDL 55.3 mg/dL, HbA1c 2.9 %, hsTnI 0.0 pg/mL, Ferritin 43.1 ug/L, Iron 160.3 ug/dL, TIBC 411.6 ug/dL, IronSat 15.9 %, NYHAClass Class II nan, NYHAAssessment Objective evidence of moderately severe cardiovascular disease nan",Chronic CHF,,"ECG, CXR, NYHA class assess"
347,347,Routine dental cleaning and examination.,1956-04-12,Nina110,2013-06-07,2013-06-07,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),57,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
348,348,Echocardiogram and medication reconciliation performed for cardiac evaluation.,1956-04-12,Nina110,2013-06-16,2013-06-16,8,ambulatory,185347001,Encounter for problem (procedure),85.55,1333.35,1066.67,88805009.0,Chronic congestive heart failure (disorder),57,"LVEF 47.8 %, BloodGlucose 85.5 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 5.8 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 142.0 mmol/L, BloodK 4.3 mmol/L, BloodChloride 108.9 mmol/L, TotalCO2Blood 22.4 mmol/L",,"Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab","Echo, Med rec"
349,349,Ongoing treatment for cardiac conditions with multiple medications; dental and mental health assessed.,1956-04-12,Nina110,2013-07-26,2013-07-26,8,outpatient,185349003,Encounter for check up (procedure),85.55,1055.43,844.33,,,57,"SerumGlucose 89.1 mg/dL, SerumBUN 12.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 138.8 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 52.4 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 2.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 335.2 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 3.0 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 66.0 mm[Hg], SBP 68.0 mm[Hg], HR 95.0 /min, RR 15.0 /min, BloodGlucose 89.1 mg/dL, BloodBUN 12.6 mg/dL, BloodCreatinine 4.0 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.8 mmol/L, BloodK 4.0 mmol/L, BloodChloride 109.2 mmol/L, TotalCO2Blood 28.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
350,352,Regular dental care to manage gingival health.,1956-04-12,Nina110,2013-08-09,2013-08-09,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),57,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
351,358,Echocardiogram and medication reconciliation; medication adjusted to Lisinopril 20mg.,1956-04-12,Nina110,2013-12-13,2013-12-13,8,ambulatory,185347001,Encounter for problem (procedure),85.55,1442.63,1154.1,88805009.0,Chronic congestive heart failure (disorder),57,"LVEF 43.0 %, BloodGlucose 73.1 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 4.4 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 141.6 mmol/L, BloodK 5.0 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 27.9 mmol/L",,Lisinopril 20mg tab,"Echo, Med rec"
352,360,Urgent care visit including comprehensive medication and psychosocial assessment. Patient is employed full-time.,1956-04-12,Nina110,2013-12-27,2013-12-27,8,urgentcare,702927004,Urgent care clinic (environment),142.58,1286.08,1028.85,,,57,"SerumGlucose 91.9 mg/dL, SerumBUN 19.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 142.1 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 55.2 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 314.4 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 2.8 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 66.0 mm[Hg], SBP 77.0 mm[Hg], HR 96.0 /min, RR 12.0 /min, BloodGlucose 91.9 mg/dL, BloodBUN 19.4 mg/dL, BloodCreatinine 4.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 142.1 mmol/L, BloodK 3.8 mmol/L, BloodChloride 106.8 mmol/L, TotalCO2Blood 20.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
353,367,Check up with emphasis on social risks including intimate partner violence; ongoing medication review.,1956-04-12,Nina110,2014-01-24,2014-01-24,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,57,"SerumGlucose 64.6 mg/dL, SerumBUN 17.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.2 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 23.4 mmol/L, MDRDGFR 52.8 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 338.7 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 3.3 %, Height 166.0 cm, PainScore 0.0 {score}, Weight 102.8 kg, BMI 37.3 kg/m2, DBP 62.0 mm[Hg], SBP 79.0 mm[Hg], HR 72.0 /min, RR 13.0 /min, BloodGlucose 64.6 mg/dL, BloodBUN 17.9 mg/dL, BloodCreatinine 3.5 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 142.6 mmol/L, BloodK 4.2 mmol/L, BloodChloride 107.1 mmol/L, TotalCO2Blood 23.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, IPV","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
354,381,Dental exam and preventive care.,1956-04-12,Nina110,2014-02-07,2014-02-07,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),57,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
355,384,Evaluation for chronic low back and neck pain treated with acetaminophen.,1956-04-12,Nina110,2014-02-14,2014-02-14,8,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,68.44,82423001.0,Chronic pain (finding),57,,"Chronic pain, Chronic LBP, Chronic neck pain",APAP 325mg tab (Tylenol),
356,385,Comprehensive check-up with medication management and mental health assessment.,1956-04-12,Nina110,2014-02-21,2014-02-21,8,outpatient,185349003,Encounter for check up (procedure),85.55,1001.52,801.2,,,57,"SerumGlucose 67.8 mg/dL, SerumBUN 16.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 25.7 mmol/L, MDRDGFR 35.9 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 302.4 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 3.1 %, Height 166.0 cm, PainScore 1.0 {score}, Weight 102.4 kg, BMI 37.2 kg/m2, DBP 62.0 mm[Hg], SBP 69.0 mm[Hg], HR 79.0 /min, RR 12.0 /min, BloodGlucose 67.8 mg/dL, BloodBUN 16.1 mg/dL, BloodCreatinine 4.9 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 136.9 mmol/L, BloodK 4.7 mmol/L, BloodChloride 107.1 mmol/L, TotalCO2Blood 25.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
357,386,Routine check with detailed psychosocial and mental health screening.,1956-04-12,Nina110,2014-04-25,2014-04-25,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,58,"SerumGlucose 79.8 mg/dL, SerumBUN 8.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 138.8 mmol/L, SerumK 4.8 mmol/L, SerumChloride 106.7 mmol/L, TotalCO2Serum 24.7 mmol/L, MDRDGFR 39.8 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 1.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 308.2 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 3.0 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 100.7 kg, BMI 36.5 kg/m2, DBP 62.0 mm[Hg], SBP 71.0 mm[Hg], HR 74.0 /min, RR 13.0 /min, BloodGlucose 79.8 mg/dL, BloodBUN 8.1 mg/dL, BloodCreatinine 4.4 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.8 mmol/L, BloodK 4.8 mmol/L, BloodChloride 106.7 mmol/L, TotalCO2Blood 24.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess"
358,388,General examination with comprehensive assessment and medication review.,1956-04-12,Nina110,2014-05-30,2014-05-30,8,wellness,162673000,General examination of patient (procedure),136.8,1172.81,938.24,,,58,"SerumGlucose 70.6 mg/dL, SerumBUN 12.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 138.5 mmol/L, SerumK 3.8 mmol/L, SerumChloride 105.9 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 32.1 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 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 350.3 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 2.8 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 99.7 kg, BMI 36.2 kg/m2, DBP 61.0 mm[Hg], SBP 71.0 mm[Hg], HR 72.0 /min, RR 14.0 /min, BloodGlucose 70.6 mg/dL, BloodBUN 12.9 mg/dL, BloodCreatinine 6.1 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 138.5 mmol/L, BloodK 3.8 mmol/L, BloodChloride 105.9 mmol/L, TotalCO2Blood 28.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
359,395,Acute episode requiring oxygen therapy with prone positioning and chest X-ray evaluation.,1956-04-12,Nina110,2014-06-11,2014-06-11,8,emergency,185347001,Encounter for problem (procedure),87.71,4681.19,3744.93,88805009.0,Chronic congestive heart failure (disorder),58,"SaO2 75.0 %, Weight 99.3 kg, NTproBNP 291.7 pg/mL, AutoWBCCount 7.6 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 46.2 %, AutoMCV 93.2 fL, MCH 31.5 pg, MCHC 32.8 g/dL, RDW 14.7 %, PlateletCount 404.9 10*3/uL, SerumGlucose 88.7 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 5.4 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 142.3 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 17.9 mL/min, SerumProtein 7.0 g/dL, AlbuminMass 4.8 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 41.0 U/L, ALT 28.0 U/L, AST 26.0 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 121.8 mg/dL, HDL 73.1 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 71.2 ug/L, Iron 43.7 ug/dL, TIBC 366.5 ug/dL, IronSat 20.7 %",,,"O2 mask, Prone position, CXR"
360,396,,1956-04-12,Nina110,2014-06-11,2014-06-16,8,inpatient,305351004,Admission to intensive care unit (procedure),146.18,8602.03,6881.5,88805009.0,Chronic congestive heart failure (disorder),58,"SaO2 75.0 %, Weight 99.3 kg, NTproBNP 202.7 pg/mL, AutoWBCCount 6.9 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 17.5 g/dL, AutoHct 39.0 %, AutoMCV 83.6 fL, MCH 30.1 pg, MCHC 31.6 g/dL, RDW 15.3 %, PlateletCount 233.6 10*3/uL, SerumGlucose 88.7 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 5.4 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 142.3 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 17.9 mL/min, SerumProtein 6.4 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 44.7 U/L, ALT 24.9 U/L, AST 14.5 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 121.8 mg/dL, HDL 73.1 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 33.5 ug/L, Iron 141.7 ug/dL, TIBC 397.9 ug/dL, IronSat 17.6 %, SaO2 75.0 %, Weight 99.3 kg, NTproBNP 1445.9 pg/mL, AutoWBCCount 5.4 10*3/uL, AutoRBCCount 4.0 10*6/uL, BloodHgb 12.0 g/dL, AutoHct 43.5 %, AutoMCV 95.0 fL, MCH 29.4 pg, MCHC 31.8 g/dL, RDW 14.7 %, PlateletCount 357.6 10*3/uL, SerumGlucose 88.7 mg/dL, SerumBUN 19.6 mg/dL, SerumCreatinine 5.4 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 142.3 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 17.9 mL/min, SerumProtein 7.2 g/dL, AlbuminMass 4.4 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 85.0 U/L, ALT 1.9 U/L, AST 35.7 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 121.8 mg/dL, HDL 73.1 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 111.9 ug/L, Iron 70.0 ug/dL, TIBC 333.2 ug/dL, IronSat 29.3 %, SaO2 83.0 %, Weight 99.1 kg, NTproBNP 333.2 pg/mL, AutoWBCCount 7.5 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 15.3 g/dL, AutoHct 49.9 %, AutoMCV 94.8 fL, MCH 31.7 pg, MCHC 34.2 g/dL, RDW 12.8 %, PlateletCount 162.5 10*3/uL, SerumGlucose 98.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 4.8 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 20.2 mL/min, SerumProtein 6.6 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 114.2 U/L, ALT 16.0 U/L, AST 22.8 U/L, SerumMagnesium 2.3 mg/dL, TotalCholesterol 209.8 mg/dL, HDL 49.7 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 41.8 ug/L, Iron 149.0 ug/dL, TIBC 329.9 ug/dL, IronSat 33.9 %, SaO2 83.0 %, Weight 99.1 kg, NTproBNP 295.5 pg/mL, AutoWBCCount 8.0 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 14.2 g/dL, AutoHct 40.8 %, AutoMCV 90.7 fL, MCH 27.6 pg, MCHC 34.6 g/dL, RDW 13.7 %, PlateletCount 408.7 10*3/uL, SerumGlucose 98.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 4.8 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 20.2 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 4.3 g/dL, TotalBilirubin 1.2 mg/dL, AlkPhosActivity 114.5 U/L, ALT 11.7 U/L, AST 21.1 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 209.8 mg/dL, HDL 49.7 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 76.5 ug/L, Iron 81.2 ug/dL, TIBC 373.8 ug/dL, IronSat 17.1 %, SaO2 83.0 %, Weight 99.1 kg, NTproBNP 969.5 pg/mL, AutoWBCCount 8.4 10*3/uL, AutoRBCCount 3.8 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 49.3 %, AutoMCV 94.0 fL, MCH 30.8 pg, MCHC 32.5 g/dL, RDW 12.4 %, PlateletCount 269.8 10*3/uL, SerumGlucose 98.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 4.8 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 20.2 mL/min, SerumProtein 6.9 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.8 mg/dL, AlkPhosActivity 56.1 U/L, ALT 28.3 U/L, AST 9.8 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 209.8 mg/dL, HDL 49.7 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 40.1 ug/L, Iron 73.6 ug/dL, TIBC 417.5 ug/dL, IronSat 16.9 %",,"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","Med rec, ECG, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, O2 mask, Prone position, HF ed"
361,402,Extensive dental care for gum disease including surgical intervention and postoperative care.,1956-04-12,Nina110,2014-06-20,2014-06-20,8,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,3519.64,103697008.0,Patient referral for dental care (procedure),58,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
362,406,"Check up with social risk factors including IPV, medication review, and mental health assessments.",1956-04-12,Nina110,2014-07-25,2014-07-25,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,58,"SerumGlucose 72.1 mg/dL, SerumBUN 16.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 42.8 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 285.3 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 3.3 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 98.1 kg, BMI 35.6 kg/m2, DBP 64.0 mm[Hg], SBP 74.0 mm[Hg], HR 85.0 /min, RR 13.0 /min, BloodGlucose 72.1 mg/dL, BloodBUN 16.1 mg/dL, BloodCreatinine 4.1 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 138.1 mmol/L, BloodK 4.3 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 20.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, IPV","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
363,409,Dental treatment for caries including restorative work and fluoride application.,1956-04-12,Nina110,2014-08-08,2014-08-08,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),58,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
364,410,Comprehensive evaluation with mental health screening and IPV history; patient currently not in workforce.,1956-04-12,Nina110,2014-08-22,2014-08-22,8,outpatient,185349003,Encounter for check up (procedure),85.55,1058.0,846.39,,,58,"SerumGlucose 92.1 mg/dL, SerumBUN 12.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 25.3 mmol/L, MDRDGFR 38.6 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 393.7 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 3.2 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 97.4 kg, BMI 35.3 kg/m2, DBP 60.0 mm[Hg], SBP 70.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, BloodGlucose 92.1 mg/dL, BloodBUN 12.1 mg/dL, BloodCreatinine 4.6 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 141.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 109.2 mmol/L, TotalCO2Blood 25.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, IPV","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
365,411,Follow-up visit with focus on medication review and management of stress; patient currently employed full-time.,1956-04-12,Nina110,2014-09-19,2014-09-19,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,58,"SerumGlucose 94.6 mg/dL, SerumBUN 14.6 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 35.3 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 279.4 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 3.1 %, Height 166.0 cm, PainScore 0.0 {score}, Weight 96.6 kg, BMI 35.1 kg/m2, DBP 61.0 mm[Hg], SBP 76.0 mm[Hg], HR 80.0 /min, RR 13.0 /min, BloodGlucose 94.6 mg/dL, BloodBUN 14.6 mg/dL, BloodCreatinine 3.3 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 142.6 mmol/L, BloodK 4.3 mmol/L, BloodChloride 108.0 mmol/L, TotalCO2Blood 23.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Stress","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
366,413,Urgent care visit including assessment of substance use and ongoing medication management.,1956-04-12,Nina110,2014-10-17,2014-10-17,8,urgentcare,702927004,Urgent care clinic (environment),142.58,1149.42,919.52,,,58,"SerumGlucose 84.6 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 140.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 108.6 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 53.2 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 357.2 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 3.4 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 95.8 kg, BMI 34.8 kg/m2, DBP 60.0 mm[Hg], SBP 71.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, BloodGlucose 84.6 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 5.9 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 140.4 mmol/L, BloodK 3.9 mmol/L, BloodChloride 108.6 mmol/L, TotalCO2Blood 23.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess"
367,414,Visit included detailed mental health screening and medication review.,1956-04-12,Nina110,2014-11-21,2014-11-21,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,58,"SerumGlucose 92.5 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 106.9 mmol/L, TotalCO2Serum 20.9 mmol/L, MDRDGFR 36.5 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.0 pH, UrineProteinMass 373.9 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 3.3 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 94.8 kg, BMI 34.4 kg/m2, DBP 66.0 mm[Hg], SBP 77.0 mm[Hg], HR 62.0 /min, RR 15.0 /min, BloodGlucose 92.5 mg/dL, BloodBUN 17.3 mg/dL, BloodCreatinine 3.3 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 139.2 mmol/L, BloodK 4.9 mmol/L, BloodChloride 106.9 mmol/L, TotalCO2Blood 20.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen"
368,418,"Patient with metabolic syndrome, not currently in workforce, stress present.",1956-04-12,Nina110,2014-12-19,2014-12-19,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,58,"SerumGlucose 78.2 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 136.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 107.4 mmol/L, TotalCO2Serum 22.1 mmol/L, MDRDGFR 43.6 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 348.8 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 3.3 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 94.1 kg, BMI 34.1 kg/m2, DBP 62.0 mm[Hg], SBP 74.0 mm[Hg], HR 64.0 /min, RR 14.0 /min, BloodGlucose 78.2 mg/dL, BloodBUN 10.6 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 136.1 mmol/L, BloodK 4.3 mmol/L, BloodChloride 107.4 mmol/L, TotalCO2Blood 22.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","MetS, Not in workforce, Stress","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen"
369,422,Echocardiogram conducted with medication reconciliation.,1956-04-12,Nina110,2014-12-26,2014-12-26,8,ambulatory,185347001,Encounter for problem (procedure),85.55,1364.91,1091.92,88805009.0,Chronic congestive heart failure (disorder),58,"LVEF 46.8 %, BloodGlucose 90.6 mg/dL, BloodBUN 12.9 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.9 mmol/L, BloodChloride 104.8 mmol/L, TotalCO2Blood 22.8 mmol/L",,,"Echo, Med rec"
370,424,Routine checkup including mental health and dental referral; patient employed full-time but has limited social contacts.,1956-04-12,Nina110,2015-05-15,2015-05-15,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,59,"SerumGlucose 71.7 mg/dL, SerumBUN 13.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.4 mmol/L, SerumK 4.8 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 23.4 mmol/L, MDRDGFR 58.7 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 371.2 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 2.9 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 93.3 kg, BMI 33.9 kg/m2, DBP 61.0 mm[Hg], SBP 73.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, BloodGlucose 71.7 mg/dL, BloodBUN 13.5 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 139.4 mmol/L, BloodK 4.8 mmol/L, BloodChloride 104.1 mmol/L, TotalCO2Blood 23.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Limited social contact","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
371,428,Dental services provided for preventive care.,1956-04-12,Nina110,2015-05-29,2015-05-29,8,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),59,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
372,429,General exam with psychosocial and dental referral.,1956-04-12,Nina110,2015-06-12,2015-06-12,8,wellness,162673000,General examination of patient (procedure),136.8,866.52,693.2,,,59,"SerumGlucose 92.0 mg/dL, SerumBUN 13.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 141.3 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.4 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 54.0 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 207.2 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 3.3 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 93.5 kg, BMI 33.9 kg/m2, DBP 60.0 mm[Hg], SBP 70.0 mm[Hg], HR 76.0 /min, RR 14.0 /min, BloodGlucose 92.0 mg/dL, BloodBUN 13.0 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 141.3 mmol/L, BloodK 3.8 mmol/L, BloodChloride 106.4 mmol/L, TotalCO2Blood 23.1 mmol/L, TotalCholesterol 184.1 mg/dL, HDL 48.8 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral"
373,430,Echo and med rec completed for clinical concerns.,1956-04-12,Nina110,2015-06-24,2015-06-24,8,ambulatory,185347001,Encounter for problem (procedure),85.55,1442.63,1154.1,88805009.0,Chronic congestive heart failure (disorder),59,"LVEF 41.7 %, BloodGlucose 72.7 mg/dL, BloodBUN 12.3 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.9 mmol/L, BloodK 5.2 mmol/L, BloodChloride 103.3 mmol/L, TotalCO2Blood 22.7 mmol/L",,,"Echo, Med rec"
374,431,Dental examination and care provided.,1956-04-12,Nina110,2015-06-26,2015-06-26,8,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),59,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
375,432,Medication reconciliation and psychosocial assessment in patient working part-time with stress reported.,1956-04-12,Nina110,2015-10-16,2015-10-16,8,outpatient,185349003,Encounter for check up (procedure),85.55,1739.49,1391.58,,,59,"SerumGlucose 78.5 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 106.7 mmol/L, TotalCO2Serum 22.9 mmol/L, MDRDGFR 57.2 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 252.2 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 3.0 %, Height 166.0 cm, PainScore 4.0 {score}, Weight 94.4 kg, BMI 34.3 kg/m2, DBP 60.0 mm[Hg], SBP 72.0 mm[Hg], HR 69.0 /min, RR 12.0 /min, BloodGlucose 78.5 mg/dL, BloodBUN 7.9 mg/dL, BloodCreatinine 5.4 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 143.4 mmol/L, BloodK 3.9 mmol/L, BloodChloride 106.7 mmol/L, TotalCO2Blood 22.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
376,436,Acute respiratory episode managed with oxygen and prone positioning.,1956-04-12,Nina110,2015-12-21,2015-12-21,8,emergency,185347001,Encounter for problem (procedure),87.71,5256.59,4205.25,88805009.0,Chronic congestive heart failure (disorder),59,"SaO2 79.0 %, Weight 94.9 kg, NTproBNP 488.3 pg/mL, AutoWBCCount 4.9 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 12.4 g/dL, AutoHct 50.6 %, AutoMCV 84.2 fL, MCH 28.1 pg, MCHC 34.6 g/dL, RDW 14.6 %, PlateletCount 223.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 24.7 mL/min, SerumProtein 7.3 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 0.7 mg/dL, AlkPhosActivity 53.5 U/L, ALT 22.8 U/L, AST 10.5 U/L, SerumMagnesium 1.6 mg/dL, TotalCholesterol 157.9 mg/dL, HDL 56.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 44.2 ug/L, Iron 98.2 ug/dL, TIBC 294.4 ug/dL, IronSat 47.1 %",,,"O2 mask, Prone position, CXR"
377,438,,1956-04-12,Nina110,2015-12-21,2015-12-29,8,inpatient,305351004,Admission to intensive care unit (procedure),146.18,11879.92,9503.74,88805009.0,Chronic congestive heart failure (disorder),59,"SaO2 79.0 %, Weight 94.9 kg, NTproBNP 1036.9 pg/mL, AutoWBCCount 9.5 10*3/uL, AutoRBCCount 5.8 10*6/uL, BloodHgb 13.8 g/dL, AutoHct 41.1 %, AutoMCV 89.4 fL, MCH 29.8 pg, MCHC 32.0 g/dL, RDW 15.3 %, PlateletCount 383.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 24.7 mL/min, SerumProtein 7.2 g/dL, AlbuminMass 4.5 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 42.2 U/L, ALT 31.4 U/L, AST 36.6 U/L, SerumMagnesium 1.6 mg/dL, TotalCholesterol 157.9 mg/dL, HDL 56.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 63.7 ug/L, Iron 133.5 ug/dL, TIBC 437.7 ug/dL, IronSat 29.5 %, SaO2 79.0 %, Weight 94.9 kg, NTproBNP 1377.5 pg/mL, AutoWBCCount 4.8 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 13.2 g/dL, AutoHct 35.2 %, AutoMCV 88.8 fL, MCH 29.5 pg, MCHC 31.8 g/dL, RDW 15.4 %, PlateletCount 338.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 24.7 mL/min, SerumProtein 6.2 g/dL, AlbuminMass 4.4 g/dL, TotalBilirubin 0.9 mg/dL, AlkPhosActivity 111.9 U/L, ALT 31.0 U/L, AST 7.1 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 157.9 mg/dL, HDL 56.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 142.8 ug/L, Iron 162.8 ug/dL, TIBC 263.6 ug/dL, IronSat 50.4 %, SaO2 79.0 %, Weight 94.9 kg, NTproBNP 1730.6 pg/mL, AutoWBCCount 7.5 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 12.9 g/dL, AutoHct 42.4 %, AutoMCV 94.5 fL, MCH 32.1 pg, MCHC 35.4 g/dL, RDW 15.1 %, PlateletCount 305.9 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 24.7 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.7 mg/dL, AlkPhosActivity 103.8 U/L, ALT 43.7 U/L, AST 27.7 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 157.9 mg/dL, HDL 56.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 105.6 ug/L, Iron 117.1 ug/dL, TIBC 388.9 ug/dL, IronSat 35.8 %, SaO2 79.0 %, Weight 94.9 kg, NTproBNP 392.9 pg/mL, AutoWBCCount 8.8 10*3/uL, AutoRBCCount 5.0 10*6/uL, BloodHgb 15.6 g/dL, AutoHct 48.4 %, AutoMCV 85.1 fL, MCH 32.9 pg, MCHC 35.2 g/dL, RDW 14.0 %, PlateletCount 394.8 10*3/uL, SerumGlucose 94.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 24.7 mL/min, SerumProtein 8.1 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.6 mg/dL, AlkPhosActivity 40.6 U/L, ALT 23.7 U/L, AST 36.8 U/L, SerumMagnesium 2.1 mg/dL, TotalCholesterol 157.9 mg/dL, HDL 56.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 30.6 ug/L, Iron 142.2 ug/dL, TIBC 383.0 ug/dL, IronSat 46.5 %, SaO2 81.0 %, Weight 94.9 kg, NTproBNP 310.1 pg/mL, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 4.0 10*6/uL, BloodHgb 12.6 g/dL, AutoHct 40.6 %, AutoMCV 91.8 fL, MCH 31.5 pg, MCHC 34.7 g/dL, RDW 14.7 %, PlateletCount 241.2 10*3/uL, SerumGlucose 81.6 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 139.2 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 24.9 mL/min, SerumProtein 6.5 g/dL, AlbuminMass 4.6 g/dL, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 70.0 U/L, ALT 5.4 U/L, AST 18.5 U/L, SerumMagnesium 1.9 mg/dL, TotalCholesterol 223.3 mg/dL, HDL 48.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 123.0 ug/L, Iron 80.4 ug/dL, TIBC 292.3 ug/dL, IronSat 44.6 %, SaO2 81.0 %, Weight 94.9 kg, NTproBNP 937.1 pg/mL, AutoWBCCount 9.2 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 16.6 g/dL, AutoHct 46.5 %, AutoMCV 95.4 fL, MCH 28.1 pg, MCHC 32.6 g/dL, RDW 14.1 %, PlateletCount 439.4 10*3/uL, SerumGlucose 81.6 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 139.2 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 24.9 mL/min, SerumProtein 8.3 g/dL, AlbuminMass 4.4 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 61.2 U/L, ALT 16.2 U/L, AST 22.4 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 223.3 mg/dL, HDL 48.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 58.4 ug/L, Iron 90.1 ug/dL, TIBC 347.4 ug/dL, IronSat 40.0 %, SaO2 81.0 %, Weight 94.9 kg, NTproBNP 1041.4 pg/mL, AutoWBCCount 9.4 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 15.3 g/dL, AutoHct 49.5 %, AutoMCV 88.7 fL, MCH 32.0 pg, MCHC 34.9 g/dL, RDW 12.6 %, PlateletCount 444.7 10*3/uL, SerumGlucose 81.6 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 139.2 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 24.9 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.1 g/dL, TotalBilirubin 0.8 mg/dL, AlkPhosActivity 115.5 U/L, ALT 6.8 U/L, AST 27.4 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 223.3 mg/dL, HDL 48.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 140.1 ug/L, Iron 123.9 ug/dL, TIBC 273.2 ug/dL, IronSat 40.1 %, SaO2 81.0 %, Weight 94.9 kg, NTproBNP 476.8 pg/mL, AutoWBCCount 7.5 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 16.5 g/dL, AutoHct 39.6 %, AutoMCV 94.4 fL, MCH 30.3 pg, MCHC 32.6 g/dL, RDW 15.3 %, PlateletCount 233.1 10*3/uL, SerumGlucose 81.6 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 3.7 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 139.2 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 24.9 mL/min, SerumProtein 8.3 g/dL, AlbuminMass 4.1 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 54.1 U/L, ALT 26.7 U/L, AST 31.3 U/L, SerumMagnesium 2.1 mg/dL, TotalCholesterol 223.3 mg/dL, HDL 48.3 mg/dL, HbA1c 3.0 %, hsTnI 0.0 pg/mL, Ferritin 57.8 ug/L, Iron 77.5 ug/dL, TIBC 260.0 ug/dL, IronSat 16.3 %",,"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 Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj","Med rec, ECG, 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, HF ed"
378,442,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2015-12-31,2015-12-31,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 64.0 mm[Hg], SBP 72.0 mm[Hg]",,,
379,443,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-01,2016-01-01,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 79.0 mm[Hg]",,,
380,444,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-03,2016-01-03,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 69.0 mm[Hg], SBP 76.0 mm[Hg]",,,
381,445,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-05,2016-01-05,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 72.0 mm[Hg]",,,
382,446,Comprehensive check-up with medication and mental health screening.,1956-04-12,Nina110,2016-01-15,2016-01-15,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,59,"SerumGlucose 85.1 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 137.5 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 25.1 mmol/L, MDRDGFR 37.0 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 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 376.9 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 3.0 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 95.0 kg, BMI 34.5 kg/m2, DBP 61.0 mm[Hg], SBP 67.0 mm[Hg], HR 75.0 /min, RR 14.0 /min, BloodGlucose 85.1 mg/dL, BloodBUN 7.9 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 137.5 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.9 mmol/L, TotalCO2Blood 25.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen"
383,447,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-22,2016-01-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 68.0 mm[Hg], SBP 70.0 mm[Hg]",,,
384,448,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-24,2016-01-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 61.0 mm[Hg], SBP 70.0 mm[Hg]",,,
385,449,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-27,2016-01-27,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 75.0 mm[Hg]",,,
386,450,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-28,2016-01-28,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 60.0 mm[Hg], SBP 69.0 mm[Hg]",,,
387,451,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-29,2016-01-29,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 70.0 mm[Hg], SBP 69.0 mm[Hg]",,,
388,452,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-01-31,2016-01-31,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 69.0 mm[Hg]",,,
389,453,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-02,2016-02-02,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 61.0 mm[Hg], SBP 72.0 mm[Hg]",,,
390,454,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-06,2016-02-06,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 64.0 mm[Hg], SBP 72.0 mm[Hg]",,,
391,455,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-07,2016-02-07,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 72.0 mm[Hg]",,,
392,456,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-08,2016-02-08,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 63.0 mm[Hg], SBP 71.0 mm[Hg]",,,
393,457,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-09,2016-02-09,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 65.0 mm[Hg], SBP 70.0 mm[Hg]",,,
394,458,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-15,2016-02-15,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
395,459,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-17,2016-02-17,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 61.0 mm[Hg], SBP 73.0 mm[Hg]",,,
396,460,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-18,2016-02-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 68.0 mm[Hg], SBP 80.0 mm[Hg]",,,
397,461,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-19,2016-02-19,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 79.0 mm[Hg]",,,
398,462,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-23,2016-02-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
399,463,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-24,2016-02-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 63.0 mm[Hg], SBP 75.0 mm[Hg]",,,
400,464,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-02-25,2016-02-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 59.0 mm[Hg], SBP 76.0 mm[Hg]",,,
401,465,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-02,2016-03-02,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 60.0 mm[Hg], SBP 69.0 mm[Hg]",,,
402,466,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-04,2016-03-04,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 76.0 mm[Hg]",,,
403,467,Comprehensive checkup including medication and dental referral.,1956-04-12,Nina110,2016-03-11,2016-03-11,8,outpatient,185349003,Encounter for check up (procedure),85.55,1477.25,1181.79,,,59,"SerumGlucose 74.2 mg/dL, SerumBUN 17.4 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 136.4 mmol/L, SerumK 4.6 mmol/L, SerumChloride 107.7 mmol/L, TotalCO2Serum 23.2 mmol/L, MDRDGFR 44.3 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 246.1 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 3.3 %, Height 166.0 cm, PainScore 0.0 {score}, Weight 95.4 kg, BMI 34.6 kg/m2, DBP 61.0 mm[Hg], SBP 69.0 mm[Hg], HR 77.0 /min, RR 15.0 /min, BloodGlucose 74.2 mg/dL, BloodBUN 17.4 mg/dL, BloodCreatinine 3.9 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 136.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107.7 mmol/L, TotalCO2Blood 23.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
404,468,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-18,2016-03-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 60.0 mm[Hg], SBP 81.0 mm[Hg]",,,
405,469,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-21,2016-03-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 61.0 mm[Hg], SBP 79.0 mm[Hg]",,,
406,470,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-23,2016-03-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 77.0 mm[Hg]",,,
407,471,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-03-25,2016-03-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 66.0 mm[Hg], SBP 73.0 mm[Hg]",,,
408,472,Routine dental care with fluoride treatment.,1956-04-12,Nina110,2016-03-25,2016-03-25,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),59,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
409,473,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-08,2016-04-08,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 62.0 mm[Hg], SBP 69.0 mm[Hg]",,,
410,474,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-10,2016-04-10,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),59,"DBP 65.0 mm[Hg], SBP 70.0 mm[Hg]",,,
411,475,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-12,2016-04-12,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 78.0 mm[Hg]",,,
412,476,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-13,2016-04-13,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 72.0 mm[Hg]",,,
413,477,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-14,2016-04-14,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 73.0 mm[Hg]",,,
414,478,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-15,2016-04-15,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,0.0,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 72.0 mm[Hg]",,,
415,479," ""Colonoscopy performed at age 60.""",1956-04-12,Nina110,2016-04-20,2016-04-20,8,ambulatory,185349003,Encounter for check up (procedure),85.55,5138.45,4038.42,275978004.0,Screening for malignant neoplasm of colon (procedure),60,,,,Colonoscopy
416,483,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-16,2016-04-16,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 71.0 mm[Hg]",,,
417,485,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-17,2016-04-17,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 70.0 mm[Hg], SBP 68.0 mm[Hg]",,,
418,487,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-19,2016-04-19,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 74.0 mm[Hg]",,,
419,489,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-20,2016-04-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 75.0 mm[Hg]",,,
420,490,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-21,2016-04-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 80.0 mm[Hg]",,,
421,493,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-22,2016-04-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 71.0 mm[Hg]",,,
422,495,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-23,2016-04-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 72.0 mm[Hg]",,,
423,497,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-25,2016-04-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 80.0 mm[Hg]",,,
424,500,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-26,2016-04-26,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 67.0 mm[Hg], SBP 70.0 mm[Hg]",,,
425,502,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-29,2016-04-29,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
426,504,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-04-30,2016-04-30,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 68.0 mm[Hg]",,,
427,506,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-04,2016-05-04,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 66.0 mm[Hg], SBP 73.0 mm[Hg]",,,
428,507,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-05,2016-05-05,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 66.0 mm[Hg], SBP 72.0 mm[Hg]",,,
429,508,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-07,2016-05-07,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 76.0 mm[Hg]",,,
430,509,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-08,2016-05-08,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 78.0 mm[Hg]",,,
431,510,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-10,2016-05-10,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 79.0 mm[Hg]",,,
432,511,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-12,2016-05-12,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 68.0 mm[Hg]",,,
433,512,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-13,2016-05-13,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 77.0 mm[Hg]",,,
434,513,"Acute respiratory management with oxygen, prone positioning, and imaging.",1956-04-12,Nina110,2016-05-14,2016-05-14,8,emergency,185347001,Encounter for problem (procedure),87.71,4681.19,3744.93,88805009.0,Chronic congestive heart failure (disorder),60,"SaO2 83.0 %, Weight 95.9 kg, NTproBNP 347.0 pg/mL, AutoWBCCount 9.2 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 15.3 g/dL, AutoHct 39.6 %, AutoMCV 90.3 fL, MCH 28.9 pg, MCHC 32.7 g/dL, RDW 15.4 %, PlateletCount 152.5 10*3/uL, SerumGlucose 69.6 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 3.2 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 143.8 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 20.2 mmol/L, MDRDGFR 28.1 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 53.7 U/L, ALT 13.1 U/L, AST 22.9 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 155.3 mg/dL, HDL 59.2 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 32.2 ug/L, Iron 128.5 ug/dL, TIBC 256.2 ug/dL, IronSat 30.8 %",,,"O2 mask, Prone position, CXR"
435,514,,1956-04-12,Nina110,2016-05-14,2016-05-16,8,inpatient,305351004,Admission to intensive care unit (procedure),146.18,5781.75,4625.34,88805009.0,Chronic congestive heart failure (disorder),60,"SaO2 83.0 %, Weight 95.9 kg, NTproBNP 1555.6 pg/mL, AutoWBCCount 4.2 10*3/uL, AutoRBCCount 5.6 10*6/uL, BloodHgb 11.3 g/dL, AutoHct 40.2 %, AutoMCV 93.3 fL, MCH 31.7 pg, MCHC 32.3 g/dL, RDW 12.7 %, PlateletCount 264.9 10*3/uL, SerumGlucose 69.6 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 3.2 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 143.8 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 20.2 mmol/L, MDRDGFR 28.1 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.0 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 108.3 U/L, ALT 34.4 U/L, AST 19.3 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 155.3 mg/dL, HDL 59.2 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 110.2 ug/L, Iron 91.2 ug/dL, TIBC 378.8 ug/dL, IronSat 25.4 %, SaO2 83.0 %, Weight 95.9 kg, NTproBNP 1560.7 pg/mL, AutoWBCCount 9.7 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 14.0 g/dL, AutoHct 44.5 %, AutoMCV 89.6 fL, MCH 27.0 pg, MCHC 33.5 g/dL, RDW 13.5 %, PlateletCount 236.2 10*3/uL, SerumGlucose 69.6 mg/dL, SerumBUN 10.6 mg/dL, SerumCreatinine 3.2 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 143.8 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 20.2 mmol/L, MDRDGFR 28.1 mL/min, SerumProtein 6.6 g/dL, AlbuminMass 4.7 g/dL, TotalBilirubin 0.9 mg/dL, AlkPhosActivity 75.0 U/L, ALT 37.8 U/L, AST 3.7 U/L, SerumMagnesium 1.7 mg/dL, TotalCholesterol 155.3 mg/dL, HDL 59.2 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 57.9 ug/L, Iron 72.1 ug/dL, TIBC 421.8 ug/dL, IronSat 33.1 %",,"10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj","Med rec, ECG, O2 mask, Prone position, O2 mask, Prone position, HF ed"
436,517,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-17,2016-05-17,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 68.0 mm[Hg]",,,
437,518,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-20,2016-05-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 87.0 mm[Hg]",,,
438,519,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-21,2016-05-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 69.0 mm[Hg]",,,
439,520,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-22,2016-05-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 85.0 mm[Hg]",,,
440,522,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-23,2016-05-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 72.0 mm[Hg]",,,
441,523,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-24,2016-05-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 69.0 mm[Hg]",,,
442,526,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-26,2016-05-26,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 78.0 mm[Hg]",,,
443,527,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-27,2016-05-27,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 71.0 mm[Hg]",,,
444,528,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-28,2016-05-28,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 82.0 mm[Hg]",,,
445,530,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-30,2016-05-30,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 75.0 mm[Hg]",,,
446,531,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-05-31,2016-05-31,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 69.0 mm[Hg]",,,
447,533,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-02,2016-06-02,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 75.0 mm[Hg]",,,
448,534,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-03,2016-06-03,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 77.0 mm[Hg]",,,
449,535,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-05,2016-06-05,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 66.0 mm[Hg], SBP 71.0 mm[Hg]",,,
450,536,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-07,2016-06-07,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 67.0 mm[Hg], SBP 72.0 mm[Hg]",,,
451,538,"General examination with social and mental health assessment, ongoing medication, and gingivitis noted.",1956-04-12,Nina110,2016-06-17,2016-06-17,8,wellness,162673000,General examination of patient (procedure),136.8,791.94,633.54,,,60,"SerumGlucose 87.0 mg/dL, SerumBUN 17.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 141.1 mmol/L, SerumK 4.8 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 22.1 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 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 222.0 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 3.1 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 96.1 kg, BMI 34.9 kg/m2, DBP 60.0 mm[Hg], SBP 69.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, BloodGlucose 87.0 mg/dL, BloodBUN 17.9 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 141.1 mmol/L, BloodK 4.8 mmol/L, BloodChloride 108.0 mmol/L, TotalCO2Blood 22.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
452,542,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-24,2016-06-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 71.0 mm[Hg]",,,
453,543,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-25,2016-06-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 68.0 mm[Hg]",,,
454,544,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-27,2016-06-27,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 69.0 mm[Hg]",,,
455,545,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-06-30,2016-06-30,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 85.0 mm[Hg]",,,
456,546,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-01,2016-07-01,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 70.0 mm[Hg]",,,
457,547,Extensive dental care for gum disease including surgical treatment and postoperative care.,1956-04-12,Nina110,2016-07-01,2016-07-01,8,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),60,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
458,549,Medication reconciliation with mental health and substance use screening.,1956-04-12,Nina110,2016-07-15,2016-07-15,8,outpatient,185349003,Encounter for check up (procedure),85.55,1023.2,818.55,,,60,"SerumGlucose 86.5 mg/dL, SerumBUN 8.0 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 138.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 110.6 mmol/L, TotalCO2Serum 22.8 mmol/L, MDRDGFR 57.6 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 282.0 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 2.9 %, Height 166.0 cm, PainScore 1.0 {score}, Weight 96.3 kg, BMI 35.0 kg/m2, DBP 69.0 mm[Hg], SBP 68.0 mm[Hg], HR 97.0 /min, RR 14.0 /min, BloodGlucose 86.5 mg/dL, BloodBUN 8.0 mg/dL, BloodCreatinine 5.3 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 110.6 mmol/L, TotalCO2Blood 22.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen"
459,556,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-22,2016-07-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 66.0 mm[Hg], SBP 78.0 mm[Hg]",,,
460,557,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-23,2016-07-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 68.0 mm[Hg], SBP 72.0 mm[Hg]",,,
461,558,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-24,2016-07-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 69.0 mm[Hg], SBP 68.0 mm[Hg]",,,
462,559,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-25,2016-07-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 78.0 mm[Hg]",,,
463,560,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-26,2016-07-26,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 74.0 mm[Hg]",,,
464,561,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-27,2016-07-27,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 77.0 mm[Hg]",,,
465,563,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-30,2016-07-30,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 87.0 mm[Hg]",,,
466,564,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-07-31,2016-07-31,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 71.0 mm[Hg]",,,
467,565,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-01,2016-08-01,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 74.0 mm[Hg]",,,
468,566,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-02,2016-08-02,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 72.0 mm[Hg]",,,
469,567,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-03,2016-08-03,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 72.0 mm[Hg]",,,
470,568,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-04,2016-08-04,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 76.0 mm[Hg]",,,
471,569,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-05,2016-08-05,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 86.0 mm[Hg]",,,
472,570,"Ongoing check-up focusing on mental health, stress, IPV, and medication review.",1956-04-12,Nina110,2016-08-12,2016-08-12,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,60,"SerumGlucose 84.7 mg/dL, SerumBUN 10.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.7 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 42.1 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 391.3 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 2.8 %, Height 166.0 cm, PainScore 1.0 {score}, Weight 96.5 kg, BMI 35.0 kg/m2, DBP 69.0 mm[Hg], SBP 84.0 mm[Hg], HR 78.0 /min, RR 16.0 /min, BloodGlucose 84.7 mg/dL, BloodBUN 10.0 mg/dL, BloodCreatinine 3.4 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 143.2 mmol/L, BloodK 4.7 mmol/L, BloodChloride 104.6 mmol/L, TotalCO2Blood 23.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, IPV","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
473,571,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-19,2016-08-19,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 70.0 mm[Hg], SBP 71.0 mm[Hg]",,,
474,572,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-20,2016-08-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 67.0 mm[Hg], SBP 73.0 mm[Hg]",,,
475,573,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-21,2016-08-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 69.0 mm[Hg]",,,
476,574,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-22,2016-08-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 66.0 mm[Hg], SBP 82.0 mm[Hg]",,,
477,575,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-23,2016-08-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
478,576,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-08-25,2016-08-25,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 72.0 mm[Hg]",,,
479,577,Dental treatment addressing leaking filling with composite restoration and fluoride application.,1956-04-12,Nina110,2016-08-26,2016-08-26,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),60,,Leaking filling,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
480,579,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-09,2016-09-09,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 76.0 mm[Hg]",,,
481,580,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-11,2016-09-11,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 86.0 mm[Hg]",,,
482,581,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-12,2016-09-12,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 73.0 mm[Hg]",,,
483,582,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-13,2016-09-13,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 71.0 mm[Hg], SBP 71.0 mm[Hg]",,,
484,583,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-15,2016-09-15,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 82.0 mm[Hg]",,,
485,584,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-16,2016-09-16,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 85.0 mm[Hg]",,,
486,585,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-18,2016-09-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 83.0 mm[Hg]",,,
487,588,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-19,2016-09-19,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 59.0 mm[Hg], SBP 82.0 mm[Hg]",,,
488,589,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-20,2016-09-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 82.0 mm[Hg]",,,
489,590,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-22,2016-09-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 78.0 mm[Hg]",,,
490,591,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-23,2016-09-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 64.0 mm[Hg], SBP 76.0 mm[Hg]",,,
491,592,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-24,2016-09-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
492,593,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-29,2016-09-29,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 73.0 mm[Hg]",,,
493,594,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-09-30,2016-09-30,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 70.0 mm[Hg]",,,
494,595,Urgent care visit addressing social and dental concerns.,1956-04-12,Nina110,2016-10-07,2016-10-07,8,urgentcare,702927004,Urgent care clinic (environment),142.58,797.72,638.16,,,60,"SerumGlucose 83.3 mg/dL, SerumBUN 16.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 142.6 mmol/L, SerumK 5.0 mmol/L, SerumChloride 105.5 mmol/L, TotalCO2Serum 24.9 mmol/L, MDRDGFR 34.1 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 290.2 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 2.8 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 96.9 kg, BMI 35.2 kg/m2, DBP 63.0 mm[Hg], SBP 77.0 mm[Hg], HR 65.0 /min, RR 13.0 /min, BloodGlucose 83.3 mg/dL, BloodBUN 16.2 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 142.6 mmol/L, BloodK 5.0 mmol/L, BloodChloride 105.5 mmol/L, TotalCO2Blood 24.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Limited social contact, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral"
495,597,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-10-14,2016-10-14,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 68.0 mm[Hg], SBP 78.0 mm[Hg]",,,
496,598,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-10-16,2016-10-16,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 69.0 mm[Hg]",,,
497,599,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-10-17,2016-10-17,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 80.0 mm[Hg]",,,
498,600,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-10-18,2016-10-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 68.0 mm[Hg]",,,
499,601,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-10-21,2016-10-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 67.0 mm[Hg], SBP 68.0 mm[Hg]",,,
500,602,Regular dental care including fluoride treatment.,1956-04-12,Nina110,2016-10-21,2016-10-21,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),60,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
501,604,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-11-04,2016-11-04,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 62.0 mm[Hg], SBP 68.0 mm[Hg]",,,
502,605,General exam with focus on mental health and dental care with medication reconciliation.,1956-04-12,Nina110,2016-11-11,2016-11-11,8,outpatient,185349003,Encounter for check up (procedure),85.55,1092.39,873.9,,,60,"SerumGlucose 87.6 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 108.1 mmol/L, TotalCO2Serum 22.8 mmol/L, MDRDGFR 32.6 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 212.5 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 3.0 %, Height 166.0 cm, PainScore 1.0 {score}, Weight 97.1 kg, BMI 35.3 kg/m2, DBP 60.0 mm[Hg], SBP 74.0 mm[Hg], HR 67.0 /min, RR 13.0 /min, BloodGlucose 87.6 mg/dL, BloodBUN 9.3 mg/dL, BloodCreatinine 5.4 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 136.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 108.1 mmol/L, TotalCO2Blood 22.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Stress, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Dental referral"
503,606,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-11-18,2016-11-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 68.0 mm[Hg]",,,
504,607,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-11-20,2016-11-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 69.0 mm[Hg]",,,
505,608,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-11-22,2016-11-22,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 73.0 mm[Hg]",,,
506,609,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-11-23,2016-11-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 65.0 mm[Hg], SBP 74.0 mm[Hg]",,,
507,610,Comprehensive dental care.,1956-04-12,Nina110,2016-11-25,2016-11-25,8,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),60,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
508,611,Comprehensive assessment including environmental violence exposure; medication review ongoing.,1956-04-12,Nina110,2016-12-09,2016-12-09,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,60,"SerumGlucose 88.6 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.3 mmol/L, SerumK 4.4 mmol/L, SerumChloride 106.4 mmol/L, TotalCO2Serum 25.4 mmol/L, MDRDGFR 38.8 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 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 379.5 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 3.4 %, Height 166.0 cm, PainScore 2.0 {score}, Weight 97.3 kg, BMI 35.3 kg/m2, DBP 63.0 mm[Hg], SBP 72.0 mm[Hg], HR 73.0 /min, RR 13.0 /min, BloodGlucose 88.6 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 4.8 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.3 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106.4 mmol/L, TotalCO2Blood 25.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Enviro violence","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
509,612,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-16,2016-12-16,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 72.0 mm[Hg]",,,
510,613,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-17,2016-12-17,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 69.0 mm[Hg], SBP 76.0 mm[Hg]",,,
511,614,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-18,2016-12-18,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 63.0 mm[Hg], SBP 68.0 mm[Hg]",,,
512,615,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-20,2016-12-20,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 76.0 mm[Hg]",,,
513,616,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-21,2016-12-21,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 60.0 mm[Hg], SBP 70.0 mm[Hg]",,,
514,617,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-23,2016-12-23,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 61.0 mm[Hg], SBP 69.0 mm[Hg]",,,
515,618,Routine telemedicine consultation conducted.,1956-04-12,Nina110,2016-12-24,2016-12-24,8,ambulatory,448337001,Telemedicine consultation with patient (procedure),142.58,142.58,114.06,88805009.0,Chronic congestive heart failure (disorder),60,"DBP 68.0 mm[Hg], SBP 72.0 mm[Hg]",,,
516,619,Echo performed with medication update to Sacubitril/Valsartan.,1956-04-12,Nina110,2016-12-25,2016-12-25,8,ambulatory,185347001,Encounter for problem (procedure),85.55,795.53,636.42,88805009.0,Chronic congestive heart failure (disorder),60,"LVEF 43.5 %, BloodGlucose 84.2 mg/dL, BloodBUN 14.7 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 143.4 mmol/L, BloodK 4.9 mmol/L, BloodChloride 108.9 mmol/L, TotalCO2Blood 26.1 mmol/L",,Sacubitril 97mg/Valsartan 103mg tab,"Echo, Med rec"
517,620,"Comprehensive checkup including medication changes, mental health and dental referral.",1956-04-12,Nina110,2017-03-10,2017-03-10,8,outpatient,185349003,Encounter for check up (procedure),85.55,740.69,592.54,,,60,"SerumGlucose 82.4 mg/dL, SerumBUN 12.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 136.1 mmol/L, SerumK 4.9 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 23.9 mmol/L, MDRDGFR 32.7 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 239.7 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 3.0 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 98.0 kg, BMI 35.6 kg/m2, DBP 64.0 mm[Hg], SBP 79.0 mm[Hg], HR 79.0 /min, RR 13.0 /min, BloodGlucose 82.4 mg/dL, BloodBUN 12.9 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 136.1 mmol/L, BloodK 4.9 mmol/L, BloodChloride 101.7 mmol/L, TotalCO2Blood 23.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Sacubitril 97mg/Valsartan 103mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
518,621,Routine dental care.,1956-04-12,Nina110,2017-03-24,2017-03-24,8,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),60,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
519,622,Routine comprehensive checkup at age 61 with full employment and gingivitis noted.,1956-04-12,Nina110,2017-05-05,2017-05-05,8,outpatient,185349003,Encounter for check up (procedure),85.55,876.69,701.34,,,61,"SerumGlucose 77.4 mg/dL, SerumBUN 14.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 136.1 mmol/L, SerumK 3.8 mmol/L, SerumChloride 105.1 mmol/L, TotalCO2Serum 24.2 mmol/L, MDRDGFR 36.9 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 336.1 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 3.1 %, Height 166.0 cm, PainScore 3.0 {score}, Weight 98.3 kg, BMI 35.7 kg/m2, DBP 63.0 mm[Hg], SBP 79.0 mm[Hg], HR 61.0 /min, RR 14.0 /min, BloodGlucose 77.4 mg/dL, BloodBUN 14.9 mg/dL, BloodCreatinine 4.1 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.1 mmol/L, BloodK 3.8 mmol/L, BloodChloride 105.1 mmol/L, TotalCO2Blood 24.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Sacubitril 97mg/Valsartan 103mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
520,623,Dental care and oral health education.,1956-04-12,Nina110,2017-05-19,2017-05-19,8,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),61,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
521,624,General exam with mental health and dental referrals; gingivitis present.,1956-04-12,Nina110,2017-06-23,2017-06-23,8,wellness,162673000,General examination of patient (procedure),136.8,791.94,633.54,,,61,"SerumGlucose 90.7 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 137.3 mmol/L, SerumK 4.2 mmol/L, SerumChloride 106.1 mmol/L, TotalCO2Serum 28.4 mmol/L, MDRDGFR 32.3 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 245.8 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 2.9 %, Height 166.0 cm, PainScore 1.0 {score}, Weight 98.7 kg, BMI 35.8 kg/m2, DBP 67.0 mm[Hg], SBP 73.0 mm[Hg], HR 64.0 /min, RR 16.0 /min, BloodGlucose 90.7 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 4.5 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 137.3 mmol/L, BloodK 4.2 mmol/L, BloodChloride 106.1 mmol/L, TotalCO2Blood 28.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, HCTZ 25mg tab, Lasix 40mg tab, Sacubitril 97mg/Valsartan 103mg tab, APAP 325mg tab (Tylenol), Losartan 50mg tab, Lisinopril 20mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
522,625,Respiratory support with oxygen mask and prone positioning plus chest imaging.,1956-04-12,Nina110,2017-06-30,2017-06-30,8,emergency,185347001,Encounter for problem (procedure),87.71,4681.19,3744.93,88805009.0,Chronic congestive heart failure (disorder),61,"SaO2 77.0 %, Weight 98.7 kg, NTproBNP 1850.7 pg/mL, AutoWBCCount 10.1 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 16.9 g/dL, AutoHct 41.3 %, AutoMCV 83.8 fL, MCH 30.8 pg, MCHC 32.6 g/dL, RDW 12.9 %, PlateletCount 192.7 10*3/uL, SerumGlucose 90.6 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 5.7 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.2 mmol/L, SerumK 4.4 mmol/L, SerumChloride 102.4 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 16.3 mL/min, SerumProtein 6.6 g/dL, AlbuminMass 4.8 g/dL, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 110.8 U/L, ALT 33.0 U/L, AST 14.3 U/L, SerumMagnesium 1.9 mg/dL, TotalCholesterol 115.6 mg/dL, HDL 53.6 mg/dL, HbA1c 2.9 %, hsTnI 0.0 pg/mL, Ferritin 39.9 ug/L, Iron 71.6 ug/dL, TIBC 286.1 ug/dL, IronSat 51.5 %",,,"O2 mask, Prone position, CXR"
523,626,,1956-04-12,Nina110,2017-06-30,2017-07-02,8,inpatient,305351004,Admission to intensive care unit (procedure),146.18,5168.1,4134.42,88805009.0,Chronic congestive heart failure (disorder),61,"LVEF 46.6 %, SaO2 88.0 %, Weight 98.8 kg, NTproBNP 563.5 pg/mL, AutoWBCCount 3.7 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 13.1 g/dL, AutoHct 40.1 %, AutoMCV 89.8 fL, MCH 29.4 pg, MCHC 31.7 g/dL, RDW 14.4 %, PlateletCount 187.9 10*3/uL, SerumGlucose 78.1 mg/dL, SerumBUN 12.4 mg/dL, SerumCreatinine 3.6 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 139.0 mmol/L, SerumK 4.5 mmol/L, SerumChloride 108.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 25.6 mL/min, SerumProtein 7.5 g/dL, AlbuminMass 4.4 g/dL, TotalBilirubin 0.4 mg/dL, AlkPhosActivity 50.0 U/L, ALT 13.8 U/L, AST 30.3 U/L, SerumMagnesium 2.2 mg/dL, TotalCholesterol 135.1 mg/dL, HDL 55.2 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 138.7 ug/L, Iron 123.7 ug/dL, TIBC 442.5 ug/dL, IronSat 35.3 %, SaO2 88.0 %, Weight 98.8 kg, NTproBNP 1475.0 pg/mL, AutoWBCCount 6.2 10*3/uL, AutoRBCCount 3.8 10*6/uL, BloodHgb 11.4 g/dL, AutoHct 46.6 %, AutoMCV 90.8 fL, MCH 32.3 pg, MCHC 35.2 g/dL, RDW 15.2 %, PlateletCount 433.4 10*3/uL, SerumGlucose 78.1 mg/dL, SerumBUN 12.4 mg/dL, SerumCreatinine 3.6 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 139.0 mmol/L, SerumK 4.5 mmol/L, SerumChloride 108.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 25.6 mL/min, SerumProtein 7.8 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 0.7 mg/dL, AlkPhosActivity 81.4 U/L, ALT 1.5 U/L, AST 17.1 U/L, SerumMagnesium 2.1 mg/dL, TotalCholesterol 135.1 mg/dL, HDL 55.2 mg/dL, HbA1c 3.2 %, hsTnI 0.0 pg/mL, Ferritin 135.0 ug/L, Iron 51.1 ug/dL, TIBC 385.0 ug/dL, IronSat 52.3 %",,"10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj","Med rec, ECG, Echo, O2 mask, Prone position, O2 mask, Prone position"
524,627,Patient death certified at age 61.,1956-04-12,Nina110,2017-07-14,2017-07-14,8,wellness,308646001,Death Certification,136.8,211.38,169.1,88805009.0,Chronic congestive heart failure (disorder),61,DeathCause Chronic congestive heart failure (disorder) nan,,,
525,350,Well child visit at age 7 including medication reconciliation and a dental referral. Medication review noted as due.,2007-10-19,Micheal721,2015-10-16,2015-10-16,9,wellness,410620009,Well child visit (procedure),136.8,919.9,0.0,,,7,"Height 124.0 cm, PainScore 1.0 {score}, Weight 22.7 kg, BMI 14.8 kg/m2, BMIPercentile 24.4 %, DBP 70.0 mm[Hg], SBP 125.0 mm[Hg], HR 76.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Dental referral"
526,351,"Check-up for gum disease with multiple dental procedures including scaling, gingival exam, surgery, desensitizing, gingivectomy, postop care, and oral health education.",2007-10-19,Micheal721,2015-10-23,2015-10-24,9,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,0.0,103697008.0,Patient referral for dental care (procedure),8,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
527,353,ER admission at age 8 for clavicle fracture confirmed by X-ray. Orthopedic admission initiated. Acetaminophen 160mg chew tab prescribed for pain.,2007-10-19,Micheal721,2016-09-24,2016-09-25,9,emergency,50849002,Emergency room admission (procedure),146.18,1008.98,0.0,125605004.0,Fracture of bone (disorder),8,,"Bone fx, Clavicle fx",APAP 160mg chew tab,"Clavicle XR, Ortho admit"
528,354,Well child visit at age 9 with dental referral. Noted conditions include gingivitis and medication review due.,2007-10-19,Micheal721,2016-10-21,2016-10-21,9,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,9,"Height 129.8 cm, PainScore 2.0 {score}, Weight 25.7 kg, BMI 15.3 kg/m2, BMIPercentile 28.9 %, DBP 70.0 mm[Hg], SBP 124.0 mm[Hg], HR 77.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,Dental referral
529,355,"Routine dental check-up at age 9 with professional cleaning, bitewing X-rays, gingival examination, and oral health education.",2007-10-19,Micheal721,2016-10-28,2016-10-29,9,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),9,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
530,356,General check-up at age 9 with no specific procedures or medications recorded.,2007-10-19,Micheal721,2016-11-13,2016-11-13,9,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,0.0,58150001.0,Fracture of clavicle (disorder),9,,,,
531,357,"Presentation of viral sinusitis symptoms at age 9, no procedures or medications documented.",2007-10-19,Micheal721,2016-12-19,2016-12-19,9,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),9,,Viral sinusitis,,
532,359,Well child visit at age 10 with medication reconciliation and dental referral. Gingivitis noted.,2007-10-19,Micheal721,2017-10-27,2017-10-27,9,wellness,410620009,Well child visit (procedure),136.8,1383.92,0.0,,,10,"Height 134.6 cm, PainScore 0.0 {score}, Weight 29.7 kg, BMI 16.4 kg/m2, BMIPercentile 45.0 %, DBP 72.0 mm[Hg], SBP 114.0 mm[Hg], HR 99.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Dental referral"
533,361,"Dental check-up at age 10 including cleaning, fluoride treatment with NaF 2.72% oral gel, gingival exam, and oral health education.",2007-10-19,Micheal721,2017-11-03,2017-11-04,9,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),10,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
534,362,Well child visit at age 11 including medication reconciliation and dental referral. Medication review noted as due.,2007-10-19,Micheal721,2018-11-02,2018-11-02,9,wellness,410620009,Well child visit (procedure),136.8,1402.48,0.0,,,11,"Height 139.2 cm, PainScore 1.0 {score}, Weight 34.1 kg, BMI 17.6 kg/m2, BMIPercentile 56.6 %, DBP 67.0 mm[Hg], SBP 120.0 mm[Hg], HR 81.0 /min, RR 13.0 /min, AutoWBCCount 4.5 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 15.9 g/dL, AutoHct 35.0 %, AutoMCV 86.4 fL, MCH 32.1 pg, MCHC 34.6 g/dL, RDWv 42.5 fL, PlateletCount 242.8 10*3/uL, PDW 359.2 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Dental referral"
535,363,"Dental check-up with cleaning, fluoride treatment, gingival exam, and oral health education at age 11.",2007-10-19,Micheal721,2018-11-09,2018-11-10,9,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),11,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
536,364,Encounter at age 11 for acute viral pharyngitis. Throat culture performed.,2007-10-19,Micheal721,2019-03-22,2019-03-22,9,ambulatory,185345009,Encounter for symptom (procedure),85.55,2007.72,330.89,195662009.0,Acute viral pharyngitis (disorder),11,BodyTemp 37.6 Cel,Acute viral pharyngitis,,Throat culture
537,365,"Comprehensive well child visit at age 12 including medication reconciliation, mental health screenings (depression, PHQ-9, substance use, CRAFFT), anticipatory guidance, and dental referral. Medication review due.",2007-10-19,Micheal721,2019-11-08,2019-11-08,9,wellness,410620009,Well child visit (procedure),136.8,1055.9,0.0,,,12,"Height 144.6 cm, PainScore 1.0 {score}, Weight 39.3 kg, BMI 18.8 kg/m2, BMIPercentile 65.0 %, DBP 68.0 mm[Hg], SBP 114.0 mm[Hg], HR 70.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
538,366,"Routine dental care at age 12 with cleaning, bitewing imaging, gingival exam, and oral health education.",2007-10-19,Micheal721,2019-11-22,2019-11-23,9,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),12,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
539,368,"Well child visit at age 13 focused on medication reconciliation, mental health assessments for anxiety and depression, substance use screening, and anticipatory guidance. Medication review due.",2007-10-19,Micheal721,2020-11-13,2020-11-13,9,wellness,410620009,Well child visit (procedure),136.8,1568.95,0.0,,,13,"Height 151.4 cm, PainScore 1.0 {score}, Weight 46.5 kg, BMI 20.3 kg/m2, BMIPercentile 73.6 %, DBP 71.0 mm[Hg], SBP 102.0 mm[Hg], HR 77.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide"
540,369,Presented with strep throat at age 13. Prescribed Penicillin VK 250mg tablet.,2007-10-19,Micheal721,2021-07-19,2021-07-19,9,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,43878008.0,Streptococcal sore throat (disorder),13,BodyTemp 37.7 Cel,Strep throat,PCN VK 250mg tab,
541,375,Administration of vaccine at age 13 to promote active immunity.,2007-10-19,Micheal721,2021-09-03,2021-09-03,9,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,13,,,,
542,380,Second administration of vaccine at age 13 to promote active immunity.,2007-10-19,Micheal721,2021-10-01,2021-10-01,9,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,13,,,,
543,382,Well child visit at age 14 including medication reconciliation and mental health assessments for anxiety and depression. Medication review due.,2007-10-19,Micheal721,2021-11-19,2021-11-19,9,wellness,410620009,Well child visit (procedure),136.8,1437.41,0.0,,,14,"Height 159.5 cm, PainScore 1.0 {score}, Weight 52.0 kg, BMI 20.4 kg/m2, BMIPercentile 66.5 %, DBP 71.0 mm[Hg], SBP 125.0 mm[Hg], HR 81.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen"
544,387,"At age 15, visit included depression screening, substance use assessment, anticipatory guidance, dental referral, and medication review.",2007-10-19,Micheal721,2022-11-25,2022-11-25,9,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,15,"Height 165.4 cm, PainScore 0.0 {score}, Weight 59.2 kg, BMI 21.7 kg/m2, BMIPercentile 71.5 %, DBP 67.0 mm[Hg], SBP 109.0 mm[Hg], HR 63.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
545,390,"Dental check-up at age 15 with professional cleaning, bitewing evaluation, gingival check, and oral health education.",2007-10-19,Micheal721,2022-12-09,2022-12-10,9,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),15,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
546,391,"Comprehensive well child visit at age 16 including mental health and substance use screenings, anticipatory guidance, and dental referral.",2007-10-19,Micheal721,2023-12-01,2023-12-01,9,wellness,410620009,Well child visit (procedure),136.8,914.78,0.0,,,16,"Height 168.9 cm, PainScore 2.0 {score}, Weight 64.4 kg, BMI 22.6 kg/m2, BMIPercentile 73.0 %, DBP 68.0 mm[Hg], SBP 120.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, AutoWBCCount 5.7 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 15.3 g/dL, AutoHct 44.8 %, AutoMCV 94.6 fL, MCH 32.2 pg, MCHC 35.9 g/dL, RDWv 39.3 fL, PlateletCount 320.6 10*3/uL, PDW 231.8 fL, MPV 11.9 fL, SmokingStatus Never smoked tobacco (finding) nan",,,"Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
547,392,"Routine dental care at age 16 with cleanings, gingival exam, and oral health education.",2007-10-19,Micheal721,2023-12-15,2023-12-16,9,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,103697008.0,Patient referral for dental care (procedure),16,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
548,393," ""Well child visit at age 17 with medication reconciliation and mental health screenings for anxiety and depression.""",2007-10-19,Micheal721,2024-12-06,2024-12-06,9,wellness,410620009,Well child visit (procedure),136.8,1567.0,87.2,,,17,"Height 170.7 cm, PainScore 1.0 {score}, Weight 65.4 kg, BMI 22.4 kg/m2, BMIPercentile 64.6 %, DBP 59.0 mm[Hg], SBP 119.0 mm[Hg], HR 82.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen"
549,394,ER admission at age 17 for ankle sprain. Treated symptomatically with acetaminophen 325mg tablet.,2007-10-19,Micheal721,2025-02-20,2025-02-20,9,emergency,50849002,Emergency room admission (procedure),146.18,146.18,116.94,384709000.0,Sprain (morphologic abnormality),17,,"Sprain, Ankle sprain",APAP 325mg tab,
550,370,"Patient presented for a well child visit at age 16. No procedures or medications noted. Patient is noted to have some risk behaviors, which will need monitoring and counseling.",1960-06-05,Lekisha909,1976-07-18,1976-07-18,10,wellness,410620009,Well child visit (procedure),136.8,1272.22,0.0,,,16,,Risk behaviors,,
551,371,"At age 18, patient underwent a general examination. Social determinants of health include poor housing conditions and high school education. No medications or procedures recorded.",1960-06-05,Lekisha909,1978-07-30,1978-07-30,10,wellness,162673000,General examination of patient (procedure),136.8,953.83,0.0,,,18,,"Poor housing, HS education",,
552,372,"At 33, patient presented for urgent care focusing on environmental factors. No medications or procedures done. Noted history includes a criminal record, patient may benefit from social support services.",1960-06-05,Lekisha909,1993-08-08,1993-08-08,10,urgentcare,702927004,Urgent care clinic (environment),142.58,845.98,0.0,,,33,,Criminal record,,
553,373,General examination revealed hypertension and obesity with BMI over 30 at age 42. No medications or procedures documented at this visit.,1960-06-05,Lekisha909,2002-06-16,2002-06-16,10,wellness,162673000,General examination of patient (procedure),136.8,1050.78,0.0,,,42,,"HTN, Obesity BMI>30",,
554,374,Prenatal visit conducted at age 43 with a history of miscarriage. No medications or procedures noted during this visit.,1960-06-05,Lekisha909,2003-06-11,2003-06-11,10,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,855.38,156073000.0,Complete miscarriage (disorder),43,,H/o miscarriage,,
555,376,"At age 45, general examination identified prediabetes. Patient requires monitoring and lifestyle interventions.",1960-06-05,Lekisha909,2005-07-03,2005-07-03,10,wellness,162673000,General examination of patient (procedure),136.8,998.38,948.38,,,45,,Prediabetes,,
556,377,Patient has metabolic syndrome identified during general examination at 46 years old.,1960-06-05,Lekisha909,2006-07-09,2006-07-09,10,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,46,,MetS,,
557,378,Patient noted to be full-time employed at age 53 during general examination with no specific procedures or medications.,1960-06-05,Lekisha909,2013-08-18,2013-08-18,10,wellness,162673000,General examination of patient (procedure),136.8,1001.28,0.0,,,53,,Full-time employed,,
558,379,"At 54 years old, patient evaluated for general health. Medication includes Lisinopril 10mg daily. Conditions include social isolation and stress.",1960-06-05,Lekisha909,2014-08-24,2014-08-24,10,wellness,162673000,General examination of patient (procedure),136.8,1075.86,0.0,,,54,,"Social isolation, Stress",Lisinopril 10mg tab,
559,383,"Comprehensive assessment including health/social needs, substance use and drug abuse screening conducted. Lisinopril continued. Medication review recommended.",1960-06-05,Lekisha909,2015-08-30,2015-08-30,10,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,55,"HbA1c 6.3 %, Height 178.3 cm, PainScore 4.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg], SBP 129.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, BloodGlucose 65.5 mg/dL, BloodBUN 11.1 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.7 mmol/L, BloodK 5.1 mmol/L, BloodChloride 103.6 mmol/L, TotalCO2Blood 24.7 mmol/L, AutoWBCCount 5.8 10*3/uL, AutoRBCCount 3.9 10*6/uL, BloodHgb 12.9 g/dL, AutoHct 39.0 %, AutoMCV 87.1 fL, MCH 30.7 pg, MCHC 35.4 g/dL, RDWv 39.5 fL, PlateletCount 415.7 10*3/uL, PDW 277.7 fL, MPV 11.9 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,Lisinopril 10mg tab,"Health/social needs assess, Substance use assess, Drug abuse screen"
560,389,"At 56, patient had medication reconciliation, health/social needs assessment and repeated depression screening. Dental referral issued due to gingivitis. Lisinopril ongoing. Patient works part-time and reports social isolation and stress.",1960-06-05,Lekisha909,2016-09-04,2016-09-04,10,wellness,162673000,General examination of patient (procedure),136.8,994.48,0.0,,,56,"HbA1c 6.4 %, Height 178.3 cm, PainScore 1.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg], SBP 135.0 mm[Hg], HR 84.0 /min, RR 14.0 /min, BloodGlucose 87.2 mg/dL, BloodBUN 14.3 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 143.0 mmol/L, BloodK 3.7 mmol/L, BloodChloride 101.0 mmol/L, TotalCO2Blood 23.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Social isolation, Stress, Gingivitis",Lisinopril 10mg tab,"Med rec, Health/social needs assess, Depression screen, Depression screen, Dental referral"
561,397,"Dental check-up at 56 included consult, multiple cleaning procedures, bitewing x-ray, gingival exam, composite filling repair and oral health education. Condition: leaking filling addressed.",1960-06-05,Lekisha909,2016-09-18,2016-09-19,10,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2459.31,66383009.0,Gingivitis (disorder),56,,Leaking filling,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed"
562,398,"At 57, patient underwent medication reconciliation, health and social needs assessment, anxiety and depression screenings, repeated depression screen and dental referral. Lisinopril ongoing. Patient is full-time employed. Intimate partner violence (IPV) screening positive; further support recommended.",1960-06-05,Lekisha909,2017-09-10,2017-09-10,10,wellness,162673000,General examination of patient (procedure),136.8,1075.86,0.0,,,57,"HbA1c 6.4 %, Height 178.3 cm, PainScore 3.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 87.0 mm[Hg], SBP 129.0 mm[Hg], HR 87.0 /min, RR 14.0 /min, BloodGlucose 87.0 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 140.9 mmol/L, BloodK 4.1 mmol/L, BloodChloride 107.4 mmol/L, TotalCO2Blood 21.8 mmol/L, TotalCholesterol 121.4 mg/dL, HDL 51.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, IPV",Lisinopril 10mg tab,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
563,399,"Dental exam at 57 included consult, cleaning procedures, dental bitewing, gingival exam, fluoride treatment, and oral health education. Sodium fluoride gel prescribed for caries prevention.",1960-06-05,Lekisha909,2017-09-24,2017-09-24,10,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2628.37,103697008.0,Patient referral for dental care (procedure),57,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
564,400,Patient presented with symptoms of viral sinusitis at 58. No procedures or medications documented.,1960-06-05,Lekisha909,2018-06-21,2018-06-21,10,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),58,,Viral sinusitis,,
565,401,"At 58, comprehensive evaluation including medication reconciliation, health/social assessments, repeated depression screening, substance and drug abuse screening, plus dental referral. Lisinopril maintained. Medication review pending.",1960-06-05,Lekisha909,2018-09-16,2018-09-16,10,wellness,162673000,General examination of patient (procedure),136.8,1001.28,0.0,,,58,"HbA1c 5.8 %, Height 178.3 cm, PainScore 3.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 86.0 mm[Hg], SBP 125.0 mm[Hg], HR 74.0 /min, RR 12.0 /min, BloodGlucose 77.4 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 143.5 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 28.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,Lisinopril 10mg tab,"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
566,403,"Dental check-up revealed dental caries. Included consult, cleaning, gingival exam, full cusp coverage restoration and oral health education.",1960-06-05,Lekisha909,2018-09-30,2018-09-30,10,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2188.07,103697008.0,Patient referral for dental care (procedure),58,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Oral health ed"
567,404,Patient presented with acute viral pharyngitis symptoms at 58. No procedures or medications documented.,1960-06-05,Lekisha909,2019-05-22,2019-05-22,10,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,195662009.0,Acute viral pharyngitis (disorder),58,BodyTemp 37.7 Cel,Acute viral pharyngitis,,
568,405,"At 59, patient had health/social needs assessment, repeated depression screening and dental referral. Lisinopril 10mg continued. Medication review advised.",1960-06-05,Lekisha909,2019-09-22,2019-09-22,10,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,59,"HbA1c 6.3 %, Height 178.3 cm, PainScore 2.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg], SBP 134.0 mm[Hg], HR 65.0 /min, RR 16.0 /min, BloodGlucose 66.8 mg/dL, BloodBUN 14.7 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 138.9 mmol/L, BloodK 4.2 mmol/L, BloodChloride 109.7 mmol/L, TotalCO2Blood 20.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,Lisinopril 10mg tab,"Health/social needs assess, Depression screen, Depression screen, Dental referral"
569,407,"Dental visit at 59 included consult, cleaning, gingival exam, dental surgery and desensitizing treatments, gingivectomy, postoperative care, and oral health education for treatment of gum disease.",1960-06-05,Lekisha909,2019-10-06,2019-10-07,10,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,2982.43,103697008.0,Patient referral for dental care (procedure),59,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
570,408,"At 60, patient evaluated for health/social needs, anxiety and dental issues. Lisinopril continued. Gingivitis noted; dental referral made.",1960-06-05,Lekisha909,2020-09-27,2020-09-27,10,wellness,162673000,General examination of patient (procedure),136.8,934.74,0.0,,,60,"HbA1c 6.1 %, Height 178.3 cm, PainScore 3.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 83.0 mm[Hg], SBP 128.0 mm[Hg], HR 72.0 /min, RR 13.0 /min, BloodGlucose 64.1 mg/dL, BloodBUN 14.4 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 138.0 mmol/L, BloodK 5.1 mmol/L, BloodChloride 108.0 mmol/L, TotalCO2Blood 23.8 mmol/L, TotalCholesterol 148.2 mg/dL, HDL 54.0 mg/dL, AutoWBCCount 9.4 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 14.4 g/dL, AutoHct 39.5 %, AutoMCV 93.8 fL, MCH 27.4 pg, MCHC 35.8 g/dL, RDWv 41.7 fL, PlateletCount 255.4 10*3/uL, PDW 181.5 fL, MPV 10.6 fL, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,Lisinopril 10mg tab,"Health/social needs assess, Anxiety assess, Dental referral"
571,412,Routine dental check-up at 60 with cleaning and oral health education.,1960-06-05,Lekisha909,2020-10-11,2020-10-11,10,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,1721.28,66383009.0,Gingivitis (disorder),60,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
572,415,Received vaccinations to produce active immunity at age 60.,1960-06-05,Lekisha909,2021-03-07,2021-03-07,10,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,60,,,,
573,416,Received additional vaccinations at age 60.,1960-06-05,Lekisha909,2021-03-28,2021-03-28,10,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,60,,,,
574,417,"At 61, emergency room admission due to facial laceration. Procedures included wound suturing and tetanus antitoxin administration. Pain managed with ibuprofen.",1960-06-05,Lekisha909,2021-08-24,2021-08-24,10,emergency,50849002,Emergency room admission (procedure),146.18,16596.93,12535.65,312608009.0,Laceration - injury (disorder),61,,"Lac, Facial lac",Ibuprofen 200mg tab,"Wound suture, Tetanus antitoxin"
575,419,"Comprehensive exam including medication reconciliation and screening for anxiety, domestic abuse, and depression at 61. Lisinopril continued. Diagnosed with hyperlipidemia. Patient currently not in workforce.",1960-06-05,Lekisha909,2021-10-03,2021-10-03,10,wellness,162673000,General examination of patient (procedure),136.8,1286.44,1029.14,,,61,"HbA1c 6.2 %, TotalCholesterol 274.4 mg/dL, HDL 32.3 mg/dL, BloodGlucose 87.7 mg/dL, BloodBUN 7.2 mg/dL, BloodCreatinine 3.4 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 103.8 mmol/L, TotalCO2Blood 23.3 mmol/L, MDRDGFR 66.6 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 4.1 g/dL, SerumGlobulin 3.3 g/L, TotalBilirubin 0.6 mg/dL, AlkPhosActivity 65.1 U/L, ALT 43.8 U/L, AST 38.2 U/L, Height 178.3 cm, PainScore 3.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg], SBP 124.0 mm[Hg], HR 68.0 /min, RR 15.0 /min, BloodGlucose 87.7 mg/dL, BloodBUN 7.2 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 103.8 mmol/L, TotalCO2Blood 23.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","HLD, Not in workforce",Lisinopril 10mg tab,"Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen"
576,420,Follow-up visit at 61. Simvastatin 10mg started for lipid management.,1960-06-05,Lekisha909,2021-10-24,2021-10-24,10,virtual,390906007,Follow-up encounter (procedure),75.0,75.0,60.0,55822004.0,Hyperlipidemia (disorder),61,,,Simvastatin 10mg tab,
577,421,Patient presented with viral sinusitis at 61. No procedures or medications documented at this visit.,1960-06-05,Lekisha909,2021-10-25,2021-10-25,10,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),61,,Viral sinusitis,,
578,423,"At 62, comprehensive assessments continued including mental health and substance use screening. Lisinopril ongoing. Medication review pending. Patient employed full-time.",1960-06-05,Lekisha909,2022-10-09,2022-10-09,10,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,62,"HbA1c 6.0 %, Height 178.3 cm, PainScore 1.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 86.0 mm[Hg], SBP 133.0 mm[Hg], HR 87.0 /min, RR 16.0 /min, BloodGlucose 77.3 mg/dL, BloodBUN 16.8 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 143.7 mmol/L, BloodK 4.2 mmol/L, BloodChloride 106.1 mmol/L, TotalCO2Blood 20.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed",Lisinopril 10mg tab,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
579,425,Follow-up encounter at 62. Simvastatin continued.,1960-06-05,Lekisha909,2022-10-24,2022-10-24,10,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,0.0,55822004.0,Hyperlipidemia (disorder),62,"BloodGlucose 87.1 mg/dL, BloodBUN 9.6 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.0 mmol/L, BloodChloride 104.5 mmol/L, TotalCO2Blood 27.7 mmol/L, MDRDGFR 71.9 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 5.2 g/dL, SerumGlobulin 3.0 g/L, TotalBilirubin 0.8 mg/dL, AlkPhosActivity 83.5 U/L, ALT 34.2 U/L, AST 8.8 U/L, TotalCholesterol 167.2 mg/dL, HDL 65.7 mg/dL",,Simvastatin 10mg tab,
580,426,Emergency admission at 62 for full thickness burn requiring burn unit admission and prolonged hospital stay. Treatment included antibiotics and pain management.,1960-06-05,Lekisha909,2022-11-06,2022-11-25,10,emergency,50849002,Emergency room admission (procedure),146.18,1008.98,0.0,48333001.0,Burn injury (morphologic abnormality),62,,"Burn, Full thickness burn","Amoxicillin 250mg cap, Meperidine 50mg tab, APAP 325mg tab","Burn unit admit, Long stay hosp admit"
581,427,"Restorative hospital admission at 62 post-burn with comprehensive nursing, occupational therapy, physical therapy, speech therapy and discharge planning.",1960-06-05,Lekisha909,2022-11-25,2022-12-25,10,snf,32485007,Hospital admission (procedure),110.92,21680.92,13535.77,25675004.0,Patient transfer to skilled nursing facility (procedure),62,,,,"H&P, Initial assess, Indiv care plan, Nursing care, Nursing care, Nursing care, OT, Ancillary services, Nursing care, Nursing care, Speech therapy, Nursing care, Ancillary services, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, Nursing care, Ancillary services, Nursing care, Nursing care, Nursing care, OT, Ancillary services, Nursing care, Nursing care, Ancillary services, Nursing care, Nursing care, OT, Nursing care, Nursing care, Nursing care, Speech therapy, Nursing care, Nursing care, Nursing care, Nursing care, Speech therapy, Nursing care, Ancillary services, Nursing care, OT, Pre-d/c assess, Hosp d/c"
582,433,Patient presented again with viral sinusitis at 62.,1960-06-05,Lekisha909,2023-01-01,2023-01-01,10,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,85.55,444814009.0,Viral sinusitis (disorder),62,,Viral sinusitis,,
583,434,Routine check-up with no notable findings or interventions at 62.,1960-06-05,Lekisha909,2023-01-11,2023-01-11,10,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,85.55,403192003.0,Full thickness burn (disorder),62,,,,
584,435,"At 63, patient assessed for health and social needs as well as domestic abuse. Lisinopril continued. Patient noted to be socially isolated, stressed, out of workforce, and positive for intimate partner violence.",1960-06-05,Lekisha909,2023-10-15,2023-10-15,10,wellness,162673000,General examination of patient (procedure),136.8,853.36,0.0,,,63,"HbA1c 6.0 %, Height 178.3 cm, PainScore 2.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 80.0 mm[Hg], SBP 122.0 mm[Hg], HR 96.0 /min, RR 13.0 /min, BloodGlucose 96.8 mg/dL, BloodBUN 7.5 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 137.9 mmol/L, BloodK 3.8 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 165.1 mg/dL, HDL 51.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Social isolation, Stress, IPV",Lisinopril 10mg tab,"Health/social needs assess, Domestic abuse screen"
585,437,Follow-up visit at 63 with ongoing statin therapy.,1960-06-05,Lekisha909,2023-10-24,2023-10-24,10,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,0.0,55822004.0,Hyperlipidemia (disorder),63,"BloodGlucose 77.4 mg/dL, BloodBUN 12.1 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 140.0 mmol/L, BloodK 3.7 mmol/L, BloodChloride 110.0 mmol/L, TotalCO2Blood 21.4 mmol/L, MDRDGFR 81.5 mL/min, SerumProtein 7.6 g/dL, AlbuminMass 4.0 g/dL, SerumGlobulin 3.4 g/L, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 24.9 U/L, ALT 38.8 U/L, AST 26.5 U/L, TotalCholesterol 192.3 mg/dL, HDL 73.7 mg/dL",,Simvastatin 10mg tab,
586,439,"Comprehensive assessment at 64 including mental health, substance use, AUDIT-C screening, and dental referral. Lisinopril continued. Patient is full-time employed but exposed to environmental violence.",1960-06-05,Lekisha909,2024-10-20,2024-10-20,10,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,64,"HbA1c 6.4 %, Height 178.3 cm, PainScore 0.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 78.0 mm[Hg], SBP 133.0 mm[Hg], HR 73.0 /min, RR 14.0 /min, BloodGlucose 88.1 mg/dL, BloodBUN 12.0 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.1 mmol/L, BloodChloride 101.9 mmol/L, TotalCO2Blood 27.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Enviro violence",Lisinopril 10mg tab,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
587,440,Follow-up encounter at 64 with continuation of simvastatin.,1960-06-05,Lekisha909,2024-10-23,2024-10-23,10,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,0.0,55822004.0,Hyperlipidemia (disorder),64,"BloodGlucose 79.1 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 3.4 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 140.2 mmol/L, BloodK 4.7 mmol/L, BloodChloride 102.8 mmol/L, TotalCO2Blood 23.5 mmol/L, MDRDGFR 82.8 mL/min, SerumProtein 6.4 g/dL, AlbuminMass 5.4 g/dL, SerumGlobulin 2.8 g/L, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 33.3 U/L, ALT 56.1 U/L, AST 26.8 U/L, TotalCholesterol 178.5 mg/dL, HDL 38.4 mg/dL",,Simvastatin 10mg tab,
588,441,"Dental check-up included consult, cleaning, x-rays, gingival exam, and oral education.",1960-06-05,Lekisha909,2024-11-03,2024-11-03,10,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),64,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
589,480,Encounter for recurrent urinary tract infection complaints in a 15-year-old patient. No procedures or medications noted. Patient advised on prevention and hygiene practices.,1947-04-28,Thao506,1962-12-26,1962-12-26,11,ambulatory,185345009,Encounter for symptom (procedure),85.55,3611.33,0.0,307426000.0,Acute infective cystitis (disorder),15,,Recurrent UTI,,
590,481,Well child visit at age 17 focusing on risk behavior assessment. No medications or procedures performed. Counseling provided on safe practices and lifestyle.,1947-04-28,Thao506,1964-06-15,1964-06-15,11,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,17,,Risk behaviors,,
591,482,General examination at age 18 with emphasis on high school education support. No significant procedures or medications recorded.,1947-04-28,Thao506,1965-06-21,1965-06-21,11,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,HS education,,
592,484,"At age 28, general exam revealed prediabetes and anemia. Patient counseled for lifestyle modifications and possible dietary adjustments.",1947-04-28,Thao506,1975-07-07,1975-07-07,11,wellness,162673000,General examination of patient (procedure),136.8,923.8,0.0,,,28,,"Prediabetes, Anemia",,
593,486,Patient admitted to surgical department at age 35 with history of tubal surgery. No current procedures or medications described.,1947-04-28,Thao506,1982-08-15,1982-08-16,11,inpatient,305408004,Admission to surgical department (procedure),146.18,3817.64,0.0,183996000.0,Sterilization requested (situation),35,,H/o tubal,,
594,488,Encounter for knee osteoarthritis at age 39. Naproxen sodium 220 mg prescribed for symptom management. Advised on physical therapy.,1947-04-28,Thao506,1986-07-24,1986-07-24,11,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,239873007.0,Osteoarthritis of knee (disorder),39,,Knee OA,Naproxen Na 220mg tab,
595,491,General exam at age 46 revealed obesity with BMI over 30. Patient advised on weight management and lifestyle changes.,1947-04-28,Thao506,1993-05-17,1993-05-17,11,wellness,162673000,General examination of patient (procedure),136.8,934.74,0.0,,,46,,Obesity BMI>30,,
596,492,"General exam at age 58 noted patient's criminal record. Social history reviewed, no clinical interventions documented.",1947-04-28,Thao506,2005-06-13,2005-06-13,11,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,58,,Criminal record,,
597,494,"At age 60, screening identified intimate partner violence. Provided support resources and safety planning.",1947-04-28,Thao506,2007-06-25,2007-06-25,11,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,60,,IPV,,
598,496,Patient diagnosed with type 2 diabetes mellitus at age 62 during general examination. Glycemic control and management discussed.,1947-04-28,Thao506,2009-07-06,2009-07-06,11,wellness,162673000,General examination of patient (procedure),136.8,934.74,0.0,,,62,,DM2,,
599,498,Urgent care visit at age 63 revealed hypertriglyceridemia and metabolic syndrome. Urgent lifestyle and medication review recommended.,1947-04-28,Thao506,2010-05-10,2010-05-10,11,urgentcare,702927004,Urgent care clinic (environment),142.58,1150.81,0.0,,,63,,"HTG, MetS",,
600,499,General exam at 63 years highlighted stress. Advised on coping strategies and possible mental health referral.,1947-04-28,Thao506,2010-07-12,2010-07-12,11,wellness,162673000,General examination of patient (procedure),136.8,1446.08,0.0,,,63,,Stress,,
601,501,"At 66, patient examined for diabetic retinopathy and noted to be out of workforce. Ophthalmology follow-up advised.",1947-04-28,Thao506,2013-07-29,2013-07-29,11,wellness,162673000,General examination of patient (procedure),136.8,1349.12,892.89,,,66,,"Diabetic retinopathy, Not in workforce",,
602,503,"General exam at 67 showed need for medication review, limited social contact, and severe anxiety. Mental health support suggested.",1947-04-28,Thao506,2014-08-04,2014-08-04,11,wellness,162673000,General examination of patient (procedure),136.8,934.74,629.82,,,67,,"Med review due, Limited social contact, Severe anxiety",,
603,505,"Comprehensive assessment at 68 including medication reconciliation and screening for anxiety, falls, domestic abuse, and substance use. Diagnosed ischemic heart disease treated with Clopidogrel, Simvastatin, Metoprolol ER, and nitroglycerin. Patient employed full-time.",1947-04-28,Thao506,2015-08-10,2015-08-10,11,wellness,162673000,General examination of patient (procedure),136.8,1399.86,933.48,,,68,"HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 73.0 mm[Hg], SBP 119.0 mm[Hg], HR 88.0 /min, RR 15.0 /min, BloodGlucose 105.4 mg/dL, BloodBUN 15.0 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 136.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 108.1 mmol/L, TotalCO2Blood 21.0 mmol/L, TotalCholesterol 216.6 mg/dL, HDL 41.4 mg/dL, UACR 4.2 mg/g, MDRDGFR 119.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","IHD, Full-time employed","Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral"
604,515," ""Referral to cardiology for further evaluation at age 68 due to ongoing cardiac issues.""",1947-04-28,Thao506,2015-08-17,2015-08-17,11,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,414545008.0,Ischemic heart disease (disorder),68,,,,Cards referral
605,516,Consultation and coronary angiography performed due to abnormal cardiac imaging. Post-anesthesia care unit admission noted. Multiple referrals made.,1947-04-28,Thao506,2015-08-19,2015-08-19,11,ambulatory,185347001,Encounter for problem (procedure),85.55,1875.86,1500.69,414545008.0,Ischemic heart disease (disorder),68,,Abn cardiac img,,"Tx consult, Coronary angio, PACU, Service referral, Cards referral"
606,521,"Dental evaluation revealed dental caries. Underwent scaling, bitewing x-rays, composite restoration, and received oral health education.",1947-04-28,Thao506,2015-08-31,2015-08-31,11,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),68,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed"
607,524," ""Percutaneous coronary intervention performed at 68 to address coronary artery disease.""",1947-04-28,Thao506,2015-09-07,2015-09-07,11,ambulatory,185347001,Encounter for problem (procedure),85.55,9341.15,7472.92,414545008.0,Ischemic heart disease (disorder),68,,,,PCI
608,525,Annual medication review and multiple health screenings conducted. Non-proliferative diabetic retinopathy noted; referred for ophthalmic monitoring.,1947-04-28,Thao506,2016-08-15,2016-08-15,11,wellness,162673000,General examination of patient (procedure),136.8,1231.33,798.66,,,69,"HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 106.0 mm[Hg], HR 82.0 /min, RR 16.0 /min, BloodGlucose 108.9 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 107.1 mmol/L, TotalCO2Blood 23.9 mmol/L, TotalCholesterol 227.0 mg/dL, HDL 56.3 mg/dL, UACR 7.0 mg/g, MDRDGFR 142.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, NPDR",,"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
609,529," ""IUD replacement performed at age 69.""",1947-04-28,Thao506,2016-08-22,2016-08-22,11,outpatient,308335008,Patient encounter procedure (procedure),142.58,4052.91,3242.32,389095005.0,Contraception care (regime/therapy),69,,,,IUD replacement
610,532,Routine dental check-up with scaling and oral health education at 69.,1947-04-28,Thao506,2016-08-29,2016-08-29,11,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),69,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
611,537,"At 70, patient not in workforce and experiencing social isolation. Comprehensive assessments and medication review completed.",1947-04-28,Thao506,2017-08-21,2017-08-21,11,wellness,162673000,General examination of patient (procedure),136.8,1075.86,674.28,,,70,"HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 66.0 mm[Hg], SBP 105.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, BloodGlucose 121.9 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.4 mmol/L, BloodChloride 110.7 mmol/L, TotalCO2Blood 20.5 mmol/L, TotalCholesterol 219.2 mg/dL, HDL 47.2 mg/dL, UACR 3.0 mg/g, MDRDGFR 78.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce, Social isolation",,"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
612,539,Health needs including substance use and domestic abuse screening done. Patient unemployed and has gingivitis requiring dental care.,1947-04-28,Thao506,2018-08-27,2018-08-27,11,wellness,162673000,General examination of patient (procedure),136.8,996.16,610.52,,,71,"HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 59.0 mm[Hg], SBP 100.0 mm[Hg], HR 79.0 /min, RR 13.0 /min, BloodGlucose 114.6 mg/dL, BloodBUN 14.2 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.4 mmol/L, BloodK 4.0 mmol/L, BloodChloride 102.2 mmol/L, TotalCO2Blood 22.2 mmol/L, TotalCholesterol 209.5 mg/dL, HDL 47.9 mg/dL, UACR 10.2 mg/g, MDRDGFR 159.8 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Unemployed, Gingivitis",,"Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral"
613,540,"Extensive dental procedures addressing gum disease including surgery, desensitizing treatment, and fluoride application.",1947-04-28,Thao506,2018-09-10,2018-09-11,11,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),71,,Gum disease,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed"
614,541,"At 72, patient screened for multiple health/social issues including depression and substance use; remains employed full-time.",1947-04-28,Thao506,2019-09-02,2019-09-02,11,wellness,162673000,General examination of patient (procedure),136.8,1150.44,733.94,,,72,"HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 61.0 mm[Hg], SBP 102.0 mm[Hg], HR 72.0 /min, RR 14.0 /min, BloodGlucose 110.0 mg/dL, BloodBUN 14.6 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 139.8 mmol/L, BloodK 3.9 mmol/L, BloodChloride 110.7 mmol/L, TotalCO2Blood 24.5 mmol/L, TotalCholesterol 229.5 mg/dL, HDL 48.5 mg/dL, UACR 10.2 mg/g, AutoWBCCount 5.6 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 12.3 g/dL, AutoHct 42.4 %, AutoMCV 84.9 fL, MCH 32.1 pg, MCHC 33.8 g/dL, RDWv 44.7 fL, PlateletCount 414.8 10*3/uL, PDW 363.0 fL, MPV 9.5 fL, MDRDGFR 158.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,,"Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
615,548,Screening for anxiety and depression at 73 with ongoing gingivitis. Medication review due.,1947-04-28,Thao506,2020-09-07,2020-09-07,11,wellness,162673000,General examination of patient (procedure),136.8,853.36,496.28,,,73,"HbA1c 6.9 %, Height 157.9 cm, PainScore 2.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 59.0 mm[Hg], SBP 109.0 mm[Hg], HR 64.0 /min, RR 15.0 /min, BloodGlucose 109.8 mg/dL, BloodBUN 12.6 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.9 mmol/L, BloodK 5.2 mmol/L, BloodChloride 108.6 mmol/L, TotalCO2Blood 26.6 mmol/L, TotalCholesterol 221.5 mg/dL, HDL 56.9 mg/dL, UACR 9.9 mg/g, MDRDGFR 118.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
616,550,Routine dental care and examination at 73 including scaling and oral health education.,1947-04-28,Thao506,2020-09-21,2020-09-21,11,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),73,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
617,551,"Urgent care visit related to environmental violence. Assessed for anxiety, falls, and depression; patient currently not working.",1947-04-28,Thao506,2021-07-26,2021-07-26,11,urgentcare,702927004,Urgent care clinic (environment),142.58,865.94,506.34,,,74,"HbA1c 6.9 %, Height 157.9 cm, PainScore 0.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 64.0 mm[Hg], SBP 107.0 mm[Hg], HR 93.0 /min, RR 14.0 /min, BloodGlucose 102.4 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 142.6 mmol/L, BloodK 3.9 mmol/L, BloodChloride 108.2 mmol/L, TotalCO2Blood 26.4 mmol/L, TotalCholesterol 229.9 mg/dL, HDL 43.0 mg/dL, UACR 10.1 mg/g, MDRDGFR 86.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Enviro violence",,"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
618,552," ""Vaccine administered at age 74 to boost immunity.""",1947-04-28,Thao506,2021-08-02,2021-08-02,11,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,74,,,,
619,553,Presented with acute viral pharyngitis symptoms; supportive care provided.,1947-04-28,Thao506,2021-08-02,2021-08-02,11,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,195662009.0,Acute viral pharyngitis (disorder),74,BodyTemp 37.9 Cel,Acute viral pharyngitis,,
620,554," ""IUD replacement performed during visit at 74.""",1947-04-28,Thao506,2021-08-23,2021-08-30,11,outpatient,308335008,Patient encounter procedure (procedure),142.58,4681.73,3745.38,389095005.0,Contraception care (regime/therapy),74,,,,IUD replacement
621,555,"Comprehensive psychological and health needs assessments performed. Patient employed full-time with ongoing monitoring for anxiety, depression, and safety.",1947-04-28,Thao506,2021-09-13,2021-09-13,11,wellness,162673000,General examination of patient (procedure),136.8,939.86,751.88,,,74,"HbA1c 6.9 %, Height 157.9 cm, PainScore 0.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 65.0 mm[Hg], SBP 105.0 mm[Hg], HR 69.0 /min, RR 13.0 /min, BloodGlucose 119.0 mg/dL, BloodBUN 9.6 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 102.7 mmol/L, TotalCO2Blood 21.6 mmol/L, TotalCholesterol 207.7 mg/dL, HDL 52.7 mg/dL, UACR 5.1 mg/g, MDRDGFR 87.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,,"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen"
622,562,"Hospitalized at 75 for comprehensive care including physical therapy, occupational therapy, speech therapy, and nursing care. Individualized care plan implemented with multidisciplinary support.",1947-04-28,Thao506,2022-05-02,2022-05-23,11,snf,32485007,Hospital admission (procedure),110.92,16713.67,13184.54,25675004.0,Patient transfer to skilled nursing facility (procedure),75,,,,"H&P, Initial assess, Indiv care plan, Nursing care, Speech therapy, Nursing care, PT, Nursing care, Nursing care, Nursing care, Nursing care, PT, Nursing care, Nursing care, Nursing care, OT, Nursing care, Nursing care, Nursing care, Nursing care, Speech therapy, Nursing care, OT, Ancillary services, Nursing care, PT, Speech therapy, Nursing care, Ancillary services, Nursing care, Nursing care, Nursing care, PT, OT, Nursing care, Ancillary services, Nursing care, Pre-d/c assess, Hosp d/c"
623,578,Health assessment including screening for depression and substance use at 75; medication review due.,1947-04-28,Thao506,2022-09-19,2022-09-19,11,wellness,162673000,General examination of patient (procedure),136.8,860.16,688.12,,,75,"HbA1c 6.9 %, Height 157.9 cm, PainScore 2.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 106.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, BloodGlucose 114.5 mg/dL, BloodBUN 16.4 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.8 mmol/L, BloodK 4.3 mmol/L, BloodChloride 103.1 mmol/L, TotalCO2Blood 20.5 mmol/L, TotalCholesterol 237.2 mg/dL, HDL 46.2 mg/dL, UACR 12.4 mg/g, MDRDGFR 99.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
624,586,"Presented with viral sinusitis symptoms, treated conservatively.",1947-04-28,Thao506,2022-12-28,2022-12-28,11,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),75,,Viral sinusitis,,
625,587,Routine check-up with medication reconciliation and health/social needs assessment.,1947-04-28,Thao506,2023-01-16,2023-01-16,11,outpatient,185349003,Encounter for check up (procedure),85.55,1024.61,819.68,,,75,"HbA1c 6.9 %, Height 157.9 cm, PainScore 3.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 65.0 mm[Hg], SBP 110.0 mm[Hg], HR 86.0 /min, RR 12.0 /min, BloodGlucose 116.5 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.2 mmol/L, BloodK 3.8 mmol/L, BloodChloride 109.0 mmol/L, TotalCO2Blood 28.8 mmol/L, TotalCholesterol 229.9 mg/dL, HDL 56.2 mg/dL, UACR 14.9 mg/g, MDRDGFR 66.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Health/social needs assess"
626,596,"At 76, patient screened for anxiety, depression, substance use, and falls. Not currently in workforce and reports stress; medication review needed.",1947-04-28,Thao506,2023-09-25,2023-09-25,11,wellness,162673000,General examination of patient (procedure),136.8,1439.14,964.9,,,76,"HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 60.0 mm[Hg], SBP 108.0 mm[Hg], HR 66.0 /min, RR 13.0 /min, BloodGlucose 114.9 mg/dL, BloodBUN 7.0 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 139.3 mmol/L, BloodK 3.9 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 25.2 mmol/L, TotalCholesterol 215.3 mg/dL, HDL 55.5 mg/dL, UACR 11.4 mg/g, MDRDGFR 59.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce, Stress",,"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
627,603,Health and medication review at 77 including depression and substance use assessments. Patient employed part-time.,1947-04-28,Thao506,2024-09-30,2024-09-30,11,wellness,162673000,General examination of patient (procedure),136.8,1150.44,733.94,,,77,"HbA1c 6.9 %, Height 157.9 cm, PainScore 1.0 {score}, Weight 68.3 kg, BMI 27.4 kg/m2, DBP 63.0 mm[Hg], SBP 110.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, BloodGlucose 116.4 mg/dL, BloodBUN 16.0 mg/dL, BloodCreatinine 0.5 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.2 mmol/L, BloodK 5.1 mmol/L, BloodChloride 102.0 mmol/L, TotalCO2Blood 22.7 mmol/L, TotalCholesterol 215.3 mg/dL, HDL 43.4 mg/dL, UACR 11.4 mg/g, AutoWBCCount 8.4 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 12.5 g/dL, AutoHct 46.0 %, AutoMCV 84.3 fL, MCH 28.5 pg, MCHC 33.7 g/dL, RDWv 43.9 fL, PlateletCount 252.8 10*3/uL, PDW 175.7 fL, MPV 9.7 fL, MDRDGFR 124.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed",,"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
628,628,"Patient, age 9, presented with chronic sinusitis. No procedures or medications documented at this visit. Plan includes monitoring and symptom management.",1993-05-28,Enrique929,2002-09-26,2002-09-26,12,ambulatory,185345009,Encounter for symptom (procedure),85.55,92.93,0.0,75498004.0,Acute bacterial sinusitis (disorder),9,,Chronic sinusitis,,
629,629,"At 18, routine general examination performed. Patient is engaged in higher education and employed full-time. Medication review is due. No acute issues noted.",1993-05-28,Enrique929,2011-07-22,2011-07-22,12,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,"Med review due, Higher ed, Full-time employed",,
630,630,"At 19, general examination revealed prediabetes and anemia. Patient also reports social isolation. No procedures or medications documented. Plan to manage conditions and provide social support.",1993-05-28,Enrique929,2012-07-27,2012-07-27,12,wellness,162673000,General examination of patient (procedure),136.8,849.22,0.0,,,19,,"Prediabetes, Anemia, Social isolation",,
631,631,"At age 22, comprehensive evaluation including medication reconciliation and multiple psychosocial assessments performed. Patient reports stress and is currently not in workforce. No medications documented.",1993-05-28,Enrique929,2015-07-31,2015-07-31,12,wellness,162673000,General examination of patient (procedure),136.8,1490.66,0.0,,,22,"HbA1c 6.0 %, Height 181.0 cm, PainScore 1.0 {score}, Weight 78.5 kg, BMI 24.0 kg/m2, DBP 89.0 mm[Hg], SBP 112.0 mm[Hg], HR 76.0 /min, RR 13.0 /min, BloodGlucose 80.1 mg/dL, BloodBUN 19.2 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 141.7 mmol/L, BloodK 4.2 mmol/L, BloodChloride 101.1 mmol/L, TotalCO2Blood 23.6 mmol/L, AutoWBCCount 9.8 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 14.3 g/dL, AutoHct 47.5 %, AutoMCV 88.8 fL, MCH 27.5 pg, MCHC 35.3 g/dL, RDWv 43.5 fL, PlateletCount 264.4 10*3/uL, PDW 480.5 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Stress",,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
632,632,"At 25, general examination with social and mental health assessments including depression and substance use screening. Medication review is due. Patient is employed full-time but reports environmental violence exposure.",1993-05-28,Enrique929,2018-08-03,2018-08-03,12,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,25,"HbA1c 6.2 %, Height 181.0 cm, PainScore 3.0 {score}, Weight 83.2 kg, BMI 25.4 kg/m2, DBP 91.0 mm[Hg], SBP 107.0 mm[Hg], HR 85.0 /min, RR 12.0 /min, BloodGlucose 91.1 mg/dL, BloodBUN 8.0 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 139.1 mmol/L, BloodK 4.3 mmol/L, BloodChloride 110.2 mmol/L, TotalCO2Blood 26.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Enviro violence",,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
633,633,"Emergency visit for mandible fracture at age 27. Procedures included mandible X-ray, closed reduction, bone immobilization, and orthopedic stabilization. Medications prescribed include acetaminophen/oxycodone and naproxen for pain control.",1993-05-28,Enrique929,2021-04-05,2021-04-05,12,emergency,50849002,Emergency room admission (procedure),146.18,1871.78,0.0,263172003.0,Fracture of mandible (disorder),27,,Mandible fx,"APAP 325mg/Oxycodone 5mg tab, Naproxen Na 220mg tab","Mandible XR, Mandib fx closed reduction, Bone immob, Ortho stabilization"
634,634,"Post-ER visit dental check up including comprehensive dental cleaning, gingival examination, and fluoride application with oral health education. Prescribed sodium fluoride oral gel.",1993-05-28,Enrique929,2021-04-16,2021-04-16,12,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,263172003.0,Fracture of mandible (disorder),27,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
635,635,"At age 27, dental and oral range of motion exam performed. No abnormal findings documented.",1993-05-28,Enrique929,2021-05-18,2021-05-18,12,ambulatory,185349003,Encounter for check up (procedure),85.55,948.35,82.19,263172003.0,Fracture of mandible (disorder),27,,,,"Oral exam, ROM testing"
636,636,"At 28, patient underwent medication reconciliation and extensive psychosocial and dental assessments. Reports part-time employment, limited social contact, and gingivitis was noted. Referred to dental care.",1993-05-28,Enrique929,2021-08-06,2021-08-06,12,wellness,162673000,General examination of patient (procedure),136.8,1075.86,0.0,,,28,"HbA1c 6.2 %, Height 181.0 cm, PainScore 4.0 {score}, Weight 86.8 kg, BMI 26.5 kg/m2, DBP 94.0 mm[Hg], SBP 112.0 mm[Hg], HR 70.0 /min, RR 13.0 /min, BloodGlucose 82.8 mg/dL, BloodBUN 9.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 140.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 107.1 mmol/L, TotalCO2Blood 26.3 mmol/L, AutoWBCCount 5.1 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 12.9 g/dL, AutoHct 49.9 %, AutoMCV 91.5 fL, MCH 30.3 pg, MCHC 35.5 g/dL, RDWv 40.3 fL, PlateletCount 422.5 10*3/uL, PDW 401.0 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Limited social contact, Gingivitis",,"Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
637,637,Dental follow-up at 28 with cleaning and fluoride treatment. Continued oral health education and NaF 2.72% oral gel prescribed.,1993-05-28,Enrique929,2021-08-20,2021-08-20,12,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),28,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
638,638,"At 30, patient presented with acute viral pharyngitis. Symptomatic treatment recommended.",1993-05-28,Enrique929,2024-03-21,2024-03-21,12,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,195662009.0,Acute viral pharyngitis (disorder),30,BodyTemp 37.4 Cel,Acute viral pharyngitis,,
639,639,"At age 31, comprehensive exam including medication reconciliation and multiple psychosocial assessments. Patient has hypertension managed with HCTZ 25mg. Medication review is due. Referred to dental care.",1993-05-28,Enrique929,2024-08-09,2024-08-09,12,wellness,162673000,General examination of patient (procedure),136.8,1205.06,0.0,,,31,"HbA1c 6.3 %, Height 181.0 cm, PainScore 0.0 {score}, Weight 91.5 kg, BMI 27.9 kg/m2, DBP 96.0 mm[Hg], SBP 159.0 mm[Hg], HR 78.0 /min, RR 16.0 /min, BloodGlucose 87.4 mg/dL, BloodBUN 13.8 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 139.7 mmol/L, BloodK 3.8 mmol/L, BloodChloride 101.6 mmol/L, TotalCO2Blood 26.6 mmol/L, TotalCholesterol 171.7 mg/dL, HDL 48.4 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","HTN, Med review due","HCTZ 25mg tab, HCTZ 25mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
640,640,"Dental check-up at 31 with cleaning, bitewing X-rays, gingival exam, fluoride treatment, and oral health education. NaF 2.72% oral gel prescribed.",1993-05-28,Enrique929,2024-08-23,2024-08-23,12,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),31,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
641,641,"Follow-up encounter at 31, no additional findings or interventions documented.",1993-05-28,Enrique929,2024-09-08,2024-09-08,12,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),31,"DBP 85.0 mm[Hg], SBP 145.0 mm[Hg]",,,
642,642,"Follow-up encounter at 31, no additional findings or interventions documented.",1993-05-28,Enrique929,2024-11-07,2024-11-07,12,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),31,"DBP 86.0 mm[Hg], SBP 146.0 mm[Hg]",,,
643,643,"Follow-up encounter at 31, no additional findings or interventions documented.",1993-05-28,Enrique929,2025-01-06,2025-01-06,12,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),31,"DBP 86.0 mm[Hg], SBP 139.0 mm[Hg]",,,
644,644,Patient presented for routine well child visit at age 17. No procedures or medications administered. Patient reported engagement in risk behaviors and advised on counseling and preventive health.,1922-09-26,Kelley882,1939-11-15,1939-11-15,13,wellness,410620009,Well child visit (procedure),136.8,568.2,0.0,,,17,,Risk behaviors,,
645,645,"At age 18, patient underwent general examination. History includes military service and high school education. No acute findings noted.",1922-09-26,Kelley882,1940-11-20,1940-11-20,13,wellness,162673000,General examination of patient (procedure),136.8,792.52,0.0,,,18,,"Military service, HS education",,
646,646,"At 31 years, patient evaluated with general exam revealing prediabetes. Lifestyle modifications recommended to prevent progression.",1922-09-26,Kelley882,1953-12-09,1953-12-09,13,wellness,162673000,General examination of patient (procedure),136.8,1450.97,0.0,,,31,,Prediabetes,,
647,647,Check-up visit at age 31 noted anemia; further workup and management advised.,1922-09-26,Kelley882,1954-04-07,1954-04-07,13,outpatient,185349003,Encounter for check up (procedure),85.55,228.35,137.01,,,31,,Anemia,,
648,648,"At age 48, patient admitted for sepsis. Appropriate infection control and supportive care initiated.",1922-09-26,Kelley882,1970-11-11,1970-11-18,13,emergency,185347001,Encounter for problem (procedure),87.71,1025.09,0.0,91302008.0,Sepsis (disorder),48,,Sepsis,,
649,649,Patient at 55 years presented with hand osteoarthritis managed with Naproxen 220mg tablets.,1922-09-26,Kelley882,1977-11-27,1977-11-27,13,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,201834006.0,Localized  primary osteoarthritis of the hand (disorder),55,,Hand OA,Naproxen Na 220mg tab,
650,650,General exam at 60 years showed diagnosis of Type 2 Diabetes Mellitus. Diabetes management ongoing.,1922-09-26,Kelley882,1982-11-24,1982-11-24,13,wellness,162673000,General examination of patient (procedure),136.8,983.54,0.0,,,60,,DM2,,
651,651,"At 61, hypertriglyceridemia identified during general examination. Diet and lipid management reviewed.",1922-09-26,Kelley882,1983-11-30,1983-11-30,13,wellness,162673000,General examination of patient (procedure),136.8,853.36,0.0,,,61,,HTG,,
652,652,"At age 63, patient evaluated for prostate neoplasm and carcinoma in situ; oncology referral made.",1922-09-26,Kelley882,1985-12-18,1985-12-18,13,ambulatory,185347001,Encounter for problem (procedure),85.55,10495.5,4330.91,126906006.0,Neoplasm of prostate (disorder),63,,"Prostate neoplasm, Prostate CIS",,
653,653,General exam revealed metabolic syndrome at 65; cardiovascular risk reduction steps advised.,1922-09-26,Kelley882,1987-12-23,1987-12-23,13,wellness,162673000,General examination of patient (procedure),136.8,860.16,688.12,,,65,,MetS,,
654,654,Check-up visit at 66 diagnosed ischemic heart disease; ongoing cardiology management.,1922-09-26,Kelley882,1989-07-19,1989-07-19,13,outpatient,185349003,Encounter for check up (procedure),85.55,802.11,641.68,,,66,,IHD,,
655,655,Symptoms related to cardiac status managed with Metoprolol 100mg ER and NTG spray.,1922-09-26,Kelley882,1989-07-26,1989-07-26,13,ambulatory,185345009,Encounter for symptom (procedure),85.55,3536.75,2829.4,195662009.0,Acute viral pharyngitis (disorder),66,,,"24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray",
656,656,Abnormal cardiac imaging noted; heart function assessment and monitoring recommended.,1922-09-26,Kelley882,1989-08-12,1989-08-12,13,ambulatory,185347001,Encounter for problem (procedure),85.55,1444.46,1155.57,414545008.0,Ischemic heart disease (disorder),66,,Abn cardiac img,,
657,657,"At 71, patient managed for CKD stage 1 and diabetic nephropathy, on insulin therapy; continues full-time employment.",1922-09-26,Kelley882,1994-01-26,1994-01-26,13,wellness,162673000,General examination of patient (procedure),136.8,1361.02,1088.8,,,71,,"CKD stage 1, Diabetic nephropathy, Full-time employed",70/30 insulin 100u/ml susp (Humulin),
658,658,Comprehensive assessment including medication reconciliation and mental health screening performed. Insulin ongoing; stress management discussed.,1922-09-26,Kelley882,1995-01-04,1995-01-04,13,outpatient,185349003,Encounter for check up (procedure),85.55,1888.65,1426.01,,,72,"SerumGlucose 124.0 mg/dL, SerumBUN 7.8 mg/dL, SerumCreatinine 1.6 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 139.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 108.4 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 137.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.5 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 89.9 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 %, Height 166.3 cm, PainScore 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 72.0 mm[Hg], SBP 97.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, BloodGlucose 124.0 mg/dL, BloodBUN 7.8 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 139.4 mmol/L, BloodK 3.9 mmol/L, BloodChloride 108.4 mmol/L, TotalCO2Blood 23.7 mmol/L, TotalCholesterol 223.3 mg/dL, HDL 48.9 mg/dL, UACR 0.1 mg/g, AutoWBCCount 6.5 10*3/uL, AutoRBCCount 4.0 10*6/uL, BloodHgb 17.4 g/dL, AutoHct 35.9 %, AutoMCV 86.1 fL, MCH 28.7 pg, MCHC 34.2 g/dL, RDWv 39.3 fL, PlateletCount 250.1 10*3/uL, PDW 184.1 fL, MPV 10.2 fL, MDRDGFR 70.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
659,659,Routine dental assessment and care provided to maintain oral health.,1922-09-26,Kelley882,1995-01-18,1995-01-18,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),72,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
660,660,Anxiety assessment conducted; medications reviewed with ongoing insulin therapy.,1922-09-26,Kelley882,1995-02-01,1995-02-01,13,wellness,162673000,General examination of patient (procedure),136.8,1402.54,1122.02,,,72,"SerumGlucose 118.5 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 1.4 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 142.8 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.9 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 137.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.5 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 66.8 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 73.0 mm[Hg], SBP 102.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, BloodGlucose 118.5 mg/dL, BloodBUN 18.9 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 142.8 mmol/L, BloodK 4.4 mmol/L, BloodChloride 104.9 mmol/L, TotalCO2Blood 27.9 mmol/L, TotalCholesterol 238.5 mg/dL, HDL 54.3 mg/dL, UACR 3.5 mg/g, MDRDGFR 87.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess"
661,661,"Multiple screenings completed including fall risk, depression, substance use; continued insulin therapy.",1922-09-26,Kelley882,1995-05-03,1995-05-03,13,outpatient,185349003,Encounter for check up (procedure),85.55,951.27,761.0,,,72,"SerumGlucose 100.7 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 141.5 mmol/L, SerumK 4.5 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 27.7 mmol/L, MDRDGFR 122.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.4 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 7.0 pH, UrineProteinMass 70.8 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 77.0 mm[Hg], SBP 93.0 mm[Hg], HR 93.0 /min, RR 13.0 /min, BloodGlucose 100.7 mg/dL, BloodBUN 18.2 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 141.5 mmol/L, BloodK 4.5 mmol/L, BloodChloride 107.6 mmol/L, TotalCO2Blood 27.7 mmol/L, TotalCholesterol 216.8 mg/dL, HDL 58.2 mg/dL, UACR 16.1 mg/g, MDRDGFR 75.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
662,662,Patient shows progression to CKD stage 2 with diabetic microalbuminuria; social isolation and part-time employment noted.,1922-09-26,Kelley882,1995-08-02,1995-08-02,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,72,"SerumGlucose 102.7 mg/dL, SerumBUN 17.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 74.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.0 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 343.8 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 77.0 mm[Hg], SBP 94.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 102.7 mg/dL, BloodBUN 17.8 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.0 mmol/L, BloodK 4.2 mmol/L, BloodChloride 102.2 mmol/L, TotalCO2Blood 26.4 mmol/L, TotalCholesterol 219.9 mg/dL, HDL 43.6 mg/dL, UACR 25.5 mg/g, MDRDGFR 31.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","CKD stage 2, Diabetic microalbumin, Part-time employed, Social isolation",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
663,663,Comprehensive exam for mental health and social issues; working full-time with ongoing stress.,1922-09-26,Kelley882,1996-02-07,1996-02-07,13,wellness,162673000,General examination of patient (procedure),136.8,1090.84,787.77,,,73,"SerumGlucose 124.8 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 142.5 mmol/L, SerumK 4.5 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 23.5 mmol/L, MDRDGFR 64.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 274.9 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 %, Height 166.3 cm, PainScore 3.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 94.0 mm[Hg], HR 80.0 /min, RR 13.0 /min, BloodGlucose 124.8 mg/dL, BloodBUN 13.3 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 142.5 mmol/L, BloodK 4.5 mmol/L, BloodChloride 102.2 mmol/L, TotalCO2Blood 23.5 mmol/L, TotalCholesterol 237.5 mg/dL, HDL 46.6 mg/dL, UACR 29.2 mg/g, MDRDGFR 30.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
664,664,Dental care including fluoride treatment and oral health education provided.,1922-09-26,Kelley882,1996-02-21,1996-02-21,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),73,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
665,665,ER visit with mental health and substance use assessment; unhealthy alcohol use identified; insulin dosing continued.,1922-09-26,Kelley882,1996-06-19,1996-06-19,13,emergency,50849002,Emergency room admission (procedure),146.18,1011.9,809.5,,,73,"SerumGlucose 105.8 mg/dL, SerumBUN 17.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.2 mmol/L, SerumK 3.9 mmol/L, SerumChloride 110.8 mmol/L, TotalCO2Serum 20.8 mmol/L, MDRDGFR 74.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 232.0 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 101.0 mm[Hg], HR 94.0 /min, RR 13.0 /min, BloodGlucose 105.8 mg/dL, BloodBUN 17.0 mg/dL, BloodCreatinine 1.6 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 143.2 mmol/L, BloodK 3.9 mmol/L, BloodChloride 110.8 mmol/L, TotalCO2Blood 20.8 mmol/L, TotalCholesterol 219.7 mg/dL, HDL 41.3 mg/dL, UACR 26.2 mg/g, MDRDGFR 45.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Unhealthy alcohol use",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
666,666," ""Medication reconciliation done during ER admission; continued insulin therapy.""",1922-09-26,Kelley882,1996-06-26,1996-06-26,13,emergency,50849002,Emergency room admission (procedure),146.18,1158.14,926.5,,,73,"SerumGlucose 100.9 mg/dL, SerumBUN 8.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 140.3 mmol/L, SerumK 4.1 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 74.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 238.6 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
667,667,Urgent care visit including comprehensive screenings; patient under stress; insulin managed.,1922-09-26,Kelley882,1996-07-03,1996-07-03,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1269.82,1015.84,,,73,"SerumGlucose 112.8 mg/dL, SerumBUN 14.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 141.3 mmol/L, SerumK 4.5 mmol/L, SerumChloride 110.3 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 82.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 332.9 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 %, Height 166.3 cm, PainScore 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 83.0 mm[Hg], SBP 94.0 mm[Hg], HR 88.0 /min, RR 15.0 /min, BloodGlucose 112.8 mg/dL, BloodBUN 14.5 mg/dL, BloodCreatinine 1.9 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 141.3 mmol/L, BloodK 4.5 mmol/L, BloodChloride 110.3 mmol/L, TotalCO2Blood 23.3 mmol/L, TotalCholesterol 226.0 mg/dL, HDL 47.4 mg/dL, UACR 19.3 mg/g, MDRDGFR 37.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
668,668,Follow-up in urgent care with insulin medication review due.,1922-09-26,Kelley882,1996-07-10,1996-07-10,13,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,73,"SerumGlucose 107.2 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 141.8 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 21.2 mmol/L, MDRDGFR 61.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 232.0 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),
669,669,Patient presented with symptoms of viral sinusitis; symptomatic treatment recommended.,1922-09-26,Kelley882,1996-07-17,1996-07-17,13,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),73,,Viral sinusitis,,
670,670,Mental health and social screenings performed; gingivitis noted; patient not currently working.,1922-09-26,Kelley882,1996-07-24,1996-07-24,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,73,"SerumGlucose 100.8 mg/dL, SerumBUN 9.6 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.0 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 24.9 mmol/L, MDRDGFR 83.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 166.1 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 98.0 mm[Hg], HR 69.0 /min, RR 15.0 /min, BloodGlucose 100.8 mg/dL, BloodBUN 9.6 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 142.7 mmol/L, BloodK 4.0 mmol/L, BloodChloride 108.8 mmol/L, TotalCO2Blood 24.9 mmol/L, TotalCholesterol 228.7 mg/dL, HDL 55.9 mg/dL, UACR 20.9 mg/g, MDRDGFR 55.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
671,671,Continued insulin treatment documented during urgent care visit.,1922-09-26,Kelley882,1996-07-31,1996-07-31,13,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,73,"SerumGlucose 116.8 mg/dL, SerumBUN 13.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 141.6 mmol/L, SerumK 4.5 mmol/L, SerumChloride 101.3 mmol/L, TotalCO2Serum 22.6 mmol/L, MDRDGFR 61.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 233.3 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 %",,70/30 insulin 100u/ml susp (Humulin),
672,672,Routine dental care performed including fluoride treatment.,1922-09-26,Kelley882,1996-08-07,1996-08-07,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),73,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
673,673,"General exam includes screening for anxiety, depression, substance use and domestic abuse; gingivitis noted; patient employed part-time.",1922-09-26,Kelley882,1997-02-12,1997-02-12,13,wellness,162673000,General examination of patient (procedure),136.8,1356.33,1059.16,,,74,"SerumGlucose 105.7 mg/dL, SerumBUN 12.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 138.2 mmol/L, SerumK 4.1 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 26.8 mmol/L, MDRDGFR 78.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.1 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 267.5 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 77.0 mm[Hg], SBP 95.0 mm[Hg], HR 67.0 /min, RR 13.0 /min, BloodGlucose 105.7 mg/dL, BloodBUN 12.5 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.1 mmol/L, BloodChloride 101.8 mmol/L, TotalCO2Blood 26.8 mmol/L, TotalCholesterol 232.6 mg/dL, HDL 57.1 mg/dL, UACR 23.9 mg/g, MDRDGFR 54.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, IPV, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
674,674,Dental evaluation and care provided as part of routine check-up.,1922-09-26,Kelley882,1997-02-26,1997-02-26,13,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),74,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
675,675,Patient admitted to hospice care at age 75 for palliative management and end-of-life care planning.,1922-09-26,Kelley882,1997-10-01,1997-10-10,13,hospice,305336008,Admission to hospice (procedure),137.53,6177.13,4755.3,126906006.0,Neoplasm of prostate (disorder),75,,,,"Certification, Notifications, Initial assess, Indiv care plan, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Pt d/c"
676,676,Follow-up exam focused on social needs and fall risk; patient remains employed full-time despite limited social contact.,1922-09-26,Kelley882,1998-02-18,1998-02-18,13,wellness,162673000,General examination of patient (procedure),136.8,1002.52,802.0,,,75,"SerumGlucose 122.2 mg/dL, SerumBUN 8.8 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 142.3 mmol/L, SerumK 5.1 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 63.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 189.2 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 73.0 mm[Hg], SBP 96.0 mm[Hg], HR 70.0 /min, RR 16.0 /min, BloodGlucose 122.2 mg/dL, BloodBUN 8.8 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 142.3 mmol/L, BloodK 5.1 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 25.5 mmol/L, TotalCholesterol 201.9 mg/dL, HDL 40.1 mg/dL, UACR 27.3 mg/g, MDRDGFR 58.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Limited social contact",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess"
677,677,Assessment includes mental health screening and dental referral; patient experiencing social isolation and stress; gingivitis present.,1922-09-26,Kelley882,1999-02-10,1999-02-10,13,outpatient,185349003,Encounter for check up (procedure),85.55,951.27,735.86,,,76,"SerumGlucose 107.8 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.5 mmol/L, SerumK 4.0 mmol/L, SerumChloride 107.7 mmol/L, TotalCO2Serum 28.3 mmol/L, MDRDGFR 76.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 307.4 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 95.0 mm[Hg], HR 71.0 /min, RR 13.0 /min, BloodGlucose 107.8 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 1.9 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 140.5 mmol/L, BloodK 4.0 mmol/L, BloodChloride 107.7 mmol/L, TotalCO2Blood 28.3 mmol/L, TotalCholesterol 211.5 mg/dL, HDL 40.1 mg/dL, UACR 28.1 mg/g, MDRDGFR 36.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Social isolation, Stress, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Depression screen, Depression screen, Dental referral"
678,678,Comprehensive exam and screenings; patient currently not working.,1922-09-26,Kelley882,1999-02-24,1999-02-24,13,wellness,162673000,General examination of patient (procedure),136.8,1729.32,1383.44,,,76,"SerumGlucose 117.6 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.4 mmol/L, SerumK 4.7 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.7 mmol/L, MDRDGFR 68.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 314.9 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 %, Height 166.3 cm, PainScore 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 101.0 mm[Hg], HR 74.0 /min, RR 13.0 /min, BloodGlucose 117.6 mg/dL, BloodBUN 10.1 mg/dL, BloodCreatinine 2.0 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.4 mmol/L, BloodK 4.7 mmol/L, BloodChloride 105.8 mmol/L, TotalCO2Blood 28.7 mmol/L, TotalCholesterol 237.6 mg/dL, HDL 51.7 mg/dL, UACR 20.8 mg/g, MDRDGFR 34.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
679,679,Dental care including fluoride treatment performed.,1922-09-26,Kelley882,1999-03-03,1999-03-03,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),76,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
680,680,Screenings conducted for mental health and substance use; patient stressed but fully employed.,1922-09-26,Kelley882,1999-04-14,1999-04-14,13,outpatient,185349003,Encounter for check up (procedure),85.55,951.27,761.0,,,76,"SerumGlucose 117.9 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 103.5 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 73.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 218.9 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 %, Height 166.3 cm, PainScore 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 80.0 mm[Hg], SBP 97.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, BloodGlucose 117.9 mg/dL, BloodBUN 9.3 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 143.0 mmol/L, BloodK 4.2 mmol/L, BloodChloride 103.5 mmol/L, TotalCO2Blood 25.5 mmol/L, TotalCholesterol 234.7 mg/dL, HDL 43.5 mg/dL, UACR 21.6 mg/g, MDRDGFR 48.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
681,681,Patient progressed to CKD stage 3 with proteinuria; gingivitis noted; dental referral given.,1922-09-26,Kelley882,1999-05-12,1999-05-12,13,outpatient,185349003,Encounter for check up (procedure),85.55,1147.11,917.67,,,76,"SerumGlucose 100.5 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 137.4 mmol/L, SerumK 4.3 mmol/L, SerumChloride 108.2 mmol/L, TotalCO2Serum 28.5 mmol/L, MDRDGFR 47.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 277.9 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 %, Height 166.3 cm, PainScore 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 82.0 mm[Hg], SBP 97.0 mm[Hg], HR 94.0 /min, RR 16.0 /min, BloodGlucose 100.5 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.3 mmol/L, BloodChloride 108.2 mmol/L, TotalCO2Blood 28.5 mmol/L, TotalCholesterol 209.2 mg/dL, HDL 43.2 mg/dL, UACR 102.3 mg/g, MDRDGFR 21.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","CKD stage 3, Diabetic proteinuria, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Dental referral"
682,682,Advanced dental treatments performed addressing gum disease and leaking filling.,1922-09-26,Kelley882,1999-05-26,1999-05-26,13,ambulatory,185349003,Encounter for check up (procedure),85.55,5262.35,4209.88,66383009.0,Gingivitis (disorder),76,,"Gum disease, Leaking filling",NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Full cusp coverage, Dental fluoride, Oral health ed"
683,683,Assessments for social and substance use completed; medication review noted.,1922-09-26,Kelley882,1999-08-11,1999-08-11,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,76,"SerumGlucose 121.9 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.1 mmol/L, SerumK 4.0 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 51.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 268.4 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 79.0 mm[Hg], SBP 100.0 mm[Hg], HR 79.0 /min, RR 16.0 /min, BloodGlucose 121.9 mg/dL, BloodBUN 16.9 mg/dL, BloodCreatinine 2.5 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 139.1 mmol/L, BloodK 4.0 mmol/L, BloodChloride 105.6 mmol/L, TotalCO2Blood 25.9 mmol/L, TotalCholesterol 207.5 mg/dL, HDL 49.2 mg/dL, UACR 136.6 mg/g, MDRDGFR 27.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
684,684,Standard dental care performed during routine checkup.,1922-09-26,Kelley882,1999-08-25,1999-08-25,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),76,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
685,685,Routine health and psychosocial assessments; insulin therapy ongoing.,1922-09-26,Kelley882,1999-10-13,1999-10-13,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 108.6 mg/dL, SerumBUN 17.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.1 mmol/L, SerumChloride 109.0 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 32.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 245.5 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 79.0 mm[Hg], SBP 98.0 mm[Hg], HR 68.0 /min, RR 14.0 /min, BloodGlucose 108.6 mg/dL, BloodBUN 17.0 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.7 mmol/L, BloodK 4.1 mmol/L, BloodChloride 109.0 mmol/L, TotalCO2Blood 27.3 mmol/L, TotalCholesterol 220.9 mg/dL, HDL 54.2 mg/dL, UACR 97.3 mg/g, MDRDGFR 22.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
686,686,Follow-up screening for depression and substance use conducted.,1922-09-26,Kelley882,1999-11-10,1999-11-10,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 115.7 mg/dL, SerumBUN 18.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 144.0 mmol/L, SerumK 3.7 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 23.9 mmol/L, MDRDGFR 56.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 360.9 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 %, Height 166.3 cm, PainScore 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 97.0 mm[Hg], HR 91.0 /min, RR 15.0 /min, BloodGlucose 115.7 mg/dL, BloodBUN 18.5 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 144.0 mmol/L, BloodK 3.7 mmol/L, BloodChloride 104.7 mmol/L, TotalCO2Blood 23.9 mmol/L, TotalCholesterol 220.3 mg/dL, HDL 50.0 mg/dL, UACR 45.4 mg/g, MDRDGFR 18.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
687,687,Urgent care visit with comprehensive assessments; patient noted unemployed.,1922-09-26,Kelley882,1999-12-08,1999-12-08,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1735.1,1388.06,,,77,"SerumGlucose 122.5 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 142.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 51.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 241.1 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 73.0 mm[Hg], SBP 105.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, BloodGlucose 122.5 mg/dL, BloodBUN 18.9 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 142.2 mmol/L, BloodK 4.6 mmol/L, BloodChloride 109.9 mmol/L, TotalCO2Blood 21.4 mmol/L, TotalCholesterol 210.2 mg/dL, HDL 48.5 mg/dL, UACR 40.1 mg/g, MDRDGFR 25.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Unemployed,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
688,688,Mental health and substance use screenings; social isolation addressed.,1922-09-26,Kelley882,2000-01-05,2000-01-05,13,outpatient,185349003,Encounter for check up (procedure),85.55,889.85,711.86,,,77,"SerumGlucose 105.0 mg/dL, SerumBUN 9.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.9 mmol/L, SerumChloride 109.2 mmol/L, TotalCO2Serum 20.4 mmol/L, MDRDGFR 35.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 322.6 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 102.0 mm[Hg], HR 77.0 /min, RR 14.0 /min, BloodGlucose 105.0 mg/dL, BloodBUN 9.5 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 142.7 mmol/L, BloodK 4.9 mmol/L, BloodChloride 109.2 mmol/L, TotalCO2Blood 20.4 mmol/L, TotalCholesterol 204.0 mg/dL, HDL 47.0 mg/dL, UACR 238.5 mg/g, AutoWBCCount 10.0 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 16.5 g/dL, AutoHct 46.3 %, AutoMCV 92.4 fL, MCH 32.5 pg, MCHC 35.0 g/dL, RDWv 43.9 fL, PlateletCount 229.3 10*3/uL, PDW 396.1 fL, MPV 10.7 fL, MDRDGFR 24.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Social isolation",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
689,689,Comprehensive screening including domestic abuse and substance use.,1922-09-26,Kelley882,2000-02-09,2000-02-09,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 116.3 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.3 mmol/L, SerumK 5.0 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 36.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 293.1 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 72.0 mm[Hg], SBP 100.0 mm[Hg], HR 98.0 /min, RR 13.0 /min, BloodGlucose 116.3 mg/dL, BloodBUN 18.4 mg/dL, BloodCreatinine 4.4 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 139.3 mmol/L, BloodK 5.0 mmol/L, BloodChloride 109.6 mmol/L, TotalCO2Blood 24.3 mmol/L, TotalCholesterol 224.8 mg/dL, HDL 50.7 mg/dL, UACR 254.6 mg/g, MDRDGFR 15.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
690,690,Extensive mental health and social screening; social isolation reported.,1922-09-26,Kelley882,2000-03-01,2000-03-01,13,wellness,162673000,General examination of patient (procedure),136.8,1082.22,865.76,,,77,"SerumGlucose 111.0 mg/dL, SerumBUN 19.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.4 mmol/L, SerumK 5.0 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 20.5 mmol/L, MDRDGFR 54.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 400.0 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 85.0 mm[Hg], SBP 105.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 111.0 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 141.4 mmol/L, BloodK 5.0 mmol/L, BloodChloride 104.1 mmol/L, TotalCO2Blood 20.5 mmol/L, TotalCholesterol 211.7 mg/dL, HDL 44.9 mg/dL, UACR 277.2 mg/g, MDRDGFR 21.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Social isolation,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
691,691,Medication review performed during check-up; insulin therapy continued.,1922-09-26,Kelley882,2000-03-08,2000-03-08,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,77,"SerumGlucose 100.9 mg/dL, SerumBUN 14.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 136.2 mmol/L, SerumK 4.2 mmol/L, SerumChloride 105.2 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 44.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 297.9 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),
692,692,Urgent care visit with mental health and dental referral due to gingivitis.,1922-09-26,Kelley882,2000-05-10,2000-05-10,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1008.3,806.62,,,77,"SerumGlucose 121.9 mg/dL, SerumBUN 11.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.8 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 40.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 394.8 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 72.0 mm[Hg], SBP 102.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, BloodGlucose 121.9 mg/dL, BloodBUN 11.9 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 141.2 mmol/L, BloodK 4.8 mmol/L, BloodChloride 102.3 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 216.9 mg/dL, HDL 44.1 mg/dL, UACR 90.8 mg/g, MDRDGFR 28.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
693,693,Routine insulin management seen during check-up.,1922-09-26,Kelley882,2000-05-17,2000-05-17,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,77,"SerumGlucose 100.7 mg/dL, SerumBUN 16.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.4 mmol/L, SerumK 4.0 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 35.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 369.9 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 %",,70/30 insulin 100u/ml susp (Humulin),
694,694,Comprehensive dental care provided for gum disease.,1922-09-26,Kelley882,2000-05-24,2000-05-24,13,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),77,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
695,695,Routine mental health and substance use screening; patient working full-time.,1922-09-26,Kelley882,2000-06-07,2000-06-07,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 109.7 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 138.3 mmol/L, SerumK 5.1 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 23.8 mmol/L, MDRDGFR 37.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 391.6 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 81.0 mm[Hg], SBP 105.0 mm[Hg], HR 96.0 /min, RR 13.0 /min, BloodGlucose 109.7 mg/dL, BloodBUN 7.9 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 138.3 mmol/L, BloodK 5.1 mmol/L, BloodChloride 101.1 mmol/L, TotalCO2Blood 23.8 mmol/L, TotalCholesterol 207.1 mg/dL, HDL 53.7 mg/dL, UACR 220.6 mg/g, MDRDGFR 22.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
696,696,Dental fluoride treatment and oral health education delivered.,1922-09-26,Kelley882,2000-06-21,2000-06-21,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),77,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
697,697,Screenings completed; patient part-time employed.,1922-09-26,Kelley882,2000-07-05,2000-07-05,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 108.2 mg/dL, SerumBUN 18.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 139.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 56.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 364.3 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 80.0 mm[Hg], SBP 94.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 108.2 mg/dL, BloodBUN 18.2 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 139.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 109.5 mmol/L, TotalCO2Blood 21.7 mmol/L, TotalCholesterol 229.6 mg/dL, HDL 43.7 mg/dL, UACR 149.1 mg/g, MDRDGFR 28.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Part-time employed,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
698,698,Urgent care address social and mental health needs.,1922-09-26,Kelley882,2000-08-02,2000-08-02,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,77,"SerumGlucose 102.1 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 136.5 mmol/L, SerumK 4.1 mmol/L, SerumChloride 109.8 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 38.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 276.7 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 94.0 mm[Hg], HR 68.0 /min, RR 15.0 /min, BloodGlucose 102.1 mg/dL, BloodBUN 10.1 mg/dL, BloodCreatinine 4.2 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 136.5 mmol/L, BloodK 4.1 mmol/L, BloodChloride 109.8 mmol/L, TotalCO2Blood 24.3 mmol/L, TotalCholesterol 215.1 mg/dL, HDL 48.7 mg/dL, UACR 126.4 mg/g, MDRDGFR 16.1 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
699,699,Patient under stress; fully employed; routine assessments conducted.,1922-09-26,Kelley882,2000-08-30,2000-08-30,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,77,"SerumGlucose 112.8 mg/dL, SerumBUN 17.6 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 142.0 mmol/L, SerumK 4.0 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 55.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 285.4 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 76.0 mm[Hg], SBP 97.0 mm[Hg], HR 69.0 /min, RR 14.0 /min, BloodGlucose 112.8 mg/dL, BloodBUN 17.6 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 8.5 mg/dL, BloodNa 142.0 mmol/L, BloodK 4.0 mmol/L, BloodChloride 102.3 mmol/L, TotalCO2Blood 27.4 mmol/L, TotalCholesterol 207.8 mg/dL, HDL 43.3 mg/dL, UACR 232.7 mg/g, MDRDGFR 22.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
700,700,Medication reconciliation done during check up; insulin continued.,1922-09-26,Kelley882,2000-09-06,2000-09-06,13,outpatient,185349003,Encounter for check up (procedure),85.55,670.99,536.78,,,77,"SerumGlucose 100.4 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 141.0 mmol/L, SerumK 4.9 mmol/L, SerumChloride 107.1 mmol/L, TotalCO2Serum 20.1 mmol/L, MDRDGFR 48.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 230.7 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
701,701,Urgent care visit with comprehensive screening and medication review.,1922-09-26,Kelley882,2000-10-04,2000-10-04,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1735.1,1303.18,,,78,"SerumGlucose 123.1 mg/dL, SerumBUN 8.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 27.6 mmol/L, MDRDGFR 50.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 370.4 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 74.0 mm[Hg], SBP 99.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, BloodGlucose 123.1 mg/dL, BloodBUN 8.3 mg/dL, BloodCreatinine 2.5 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 140.6 mmol/L, BloodK 4.4 mmol/L, BloodChloride 108.8 mmol/L, TotalCO2Blood 27.6 mmol/L, TotalCholesterol 230.7 mg/dL, HDL 42.9 mg/dL, UACR 142.6 mg/g, MDRDGFR 26.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
702,702,Mental health and dental screening completed; patient part-time employed and stressed with gingivitis present.,1922-09-26,Kelley882,2000-10-25,2000-10-25,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,78,"SerumGlucose 115.6 mg/dL, SerumBUN 8.0 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 142.6 mmol/L, SerumK 4.0 mmol/L, SerumChloride 110.4 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 48.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 355.6 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 98.0 mm[Hg], HR 78.0 /min, RR 12.0 /min, BloodGlucose 115.6 mg/dL, BloodBUN 8.0 mg/dL, BloodCreatinine 4.0 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 142.6 mmol/L, BloodK 4.0 mmol/L, BloodChloride 110.4 mmol/L, TotalCO2Blood 27.4 mmol/L, TotalCholesterol 226.2 mg/dL, HDL 41.5 mg/dL, UACR 211.9 mg/g, MDRDGFR 16.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Stress, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
703,703,Routine insulin therapy continued.,1922-09-26,Kelley882,2000-11-01,2000-11-01,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,78,"SerumGlucose 115.5 mg/dL, SerumBUN 11.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 140.1 mmol/L, SerumK 4.9 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 38.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 260.1 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 %",,70/30 insulin 100u/ml susp (Humulin),
704,704,Dental care including fluoride treatment administered.,1922-09-26,Kelley882,2000-11-08,2000-11-08,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),78,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
705,705,Patient socially isolated with gingivitis; works full-time; multiple screenings done.,1922-09-26,Kelley882,2001-01-03,2001-01-03,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,78,"SerumGlucose 106.6 mg/dL, SerumBUN 11.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 137.8 mmol/L, SerumK 4.2 mmol/L, SerumChloride 109.8 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 44.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 6.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 336.4 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 93.0 mm[Hg], HR 81.0 /min, RR 16.0 /min, BloodGlucose 106.6 mg/dL, BloodBUN 11.3 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 137.8 mmol/L, BloodK 4.2 mmol/L, BloodChloride 109.8 mmol/L, TotalCO2Blood 21.1 mmol/L, TotalCholesterol 201.1 mg/dL, HDL 47.1 mg/dL, UACR 107.8 mg/g, MDRDGFR 23.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Social isolation, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
706,706,Further dental care and fluoride treatment provided.,1922-09-26,Kelley882,2001-01-17,2001-01-17,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),78,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
707,707,Patient not working; urgent care visit with multiple screenings and dental referral.,1922-09-26,Kelley882,2001-01-31,2001-01-31,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,78,"SerumGlucose 113.5 mg/dL, SerumBUN 19.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.3 mmol/L, SerumK 4.7 mmol/L, SerumChloride 101.9 mmol/L, TotalCO2Serum 25.8 mmol/L, MDRDGFR 56.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 248.4 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 92.0 mm[Hg], HR 64.0 /min, RR 14.0 /min, BloodGlucose 113.5 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 4.2 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.3 mmol/L, BloodK 4.7 mmol/L, BloodChloride 101.9 mmol/L, TotalCO2Blood 25.8 mmol/L, TotalCholesterol 218.2 mg/dL, HDL 53.2 mg/dL, UACR 223.8 mg/g, MDRDGFR 15.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
708,708,Advanced dental treatment including full cusp coverage for caries completed.,1922-09-26,Kelley882,2001-02-14,2001-02-14,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3174.52,103697008.0,Patient referral for dental care (procedure),78,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
709,709,Patient works part-time with limited social contact; gingivitis present and addressed.,1922-09-26,Kelley882,2001-02-28,2001-02-28,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,78,"SerumGlucose 105.4 mg/dL, SerumBUN 14.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.4 mmol/L, SerumChloride 106.5 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 30.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 366.1 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 95.0 mm[Hg], HR 93.0 /min, RR 13.0 /min, BloodGlucose 105.4 mg/dL, BloodBUN 14.4 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106.5 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 200.8 mg/dL, HDL 57.2 mg/dL, UACR 46.2 mg/g, MDRDGFR 23.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Limited social contact, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
710,710,Routine general examination and medication reconciliation conducted.,1922-09-26,Kelley882,2001-03-07,2001-03-07,13,wellness,162673000,General examination of patient (procedure),136.8,588.47,470.77,,,78,"SerumGlucose 109.4 mg/dL, SerumBUN 15.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 139.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 105.0 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 57.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 377.7 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
711,711,Dental care with fluoride treatment provided.,1922-09-26,Kelley882,2001-03-14,2001-03-14,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),78,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
712,712,Patient currently not in workforce; medication review conducted.,1922-09-26,Kelley882,2001-04-04,2001-04-04,13,outpatient,185349003,Encounter for check up (procedure),85.55,951.27,761.0,,,78,"SerumGlucose 124.2 mg/dL, SerumBUN 9.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.4 mmol/L, SerumChloride 108.3 mmol/L, TotalCO2Serum 24.9 mmol/L, MDRDGFR 58.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 230.2 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 72.0 mm[Hg], SBP 93.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, BloodGlucose 124.2 mg/dL, BloodBUN 9.3 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 108.3 mmol/L, TotalCO2Blood 24.9 mmol/L, TotalCholesterol 219.0 mg/dL, HDL 48.8 mg/dL, UACR 193.8 mg/g, MDRDGFR 28.8 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess"
713,713,"Multiple assessments for anxiety, depression, and drug use; patient stressed and socially isolated; dental referral made.",1922-09-26,Kelley882,2001-05-02,2001-05-02,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,78,"SerumGlucose 124.8 mg/dL, SerumBUN 19.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 141.7 mmol/L, SerumK 4.9 mmol/L, SerumChloride 104.2 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 31.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 321.4 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 93.0 mm[Hg], HR 64.0 /min, RR 13.0 /min, BloodGlucose 124.8 mg/dL, BloodBUN 19.3 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 141.7 mmol/L, BloodK 4.9 mmol/L, BloodChloride 104.2 mmol/L, TotalCO2Blood 27.9 mmol/L, TotalCholesterol 210.7 mg/dL, HDL 58.3 mg/dL, UACR 178.2 mg/g, MDRDGFR 17.8 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Social isolation, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
714,714,Routine dental evaluation and care.,1922-09-26,Kelley882,2001-05-16,2001-05-16,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),78,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
715,715,Urgent care evaluation including psychosocial screenings; patient working full-time.,1922-09-26,Kelley882,2001-05-30,2001-05-30,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,78,"SerumGlucose 100.0 mg/dL, SerumBUN 8.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 141.4 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.7 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 51.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 237.0 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 77.0 mm[Hg], SBP 95.0 mm[Hg], HR 65.0 /min, RR 15.0 /min, BloodGlucose 100.0 mg/dL, BloodBUN 8.8 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 141.4 mmol/L, BloodK 4.0 mmol/L, BloodChloride 109.7 mmol/L, TotalCO2Blood 23.1 mmol/L, TotalCholesterol 211.2 mg/dL, HDL 56.6 mg/dL, UACR 189.1 mg/g, MDRDGFR 24.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
716,716,Medication reconciliation and screenings performed; dental referral given.,1922-09-26,Kelley882,2001-07-04,2001-07-04,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1126.47,901.16,,,78,"SerumGlucose 109.7 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 136.4 mmol/L, SerumK 4.5 mmol/L, SerumChloride 102.8 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 44.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 275.4 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 73.0 mm[Hg], SBP 96.0 mm[Hg], HR 89.0 /min, RR 13.0 /min, BloodGlucose 109.7 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 4.3 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 136.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 102.8 mmol/L, TotalCO2Blood 25.5 mmol/L, TotalCholesterol 201.5 mg/dL, HDL 57.7 mg/dL, UACR 81.1 mg/g, MDRDGFR 15.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Dental referral"
717,717,Standard dental care provided.,1922-09-26,Kelley882,2001-07-18,2001-07-18,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),78,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
718,718,Urgent care visit with medication and anxiety assessments.,1922-09-26,Kelley882,2001-08-01,2001-08-01,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1088.0,870.38,,,78,"SerumGlucose 101.3 mg/dL, SerumBUN 10.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 139.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 102.0 mmol/L, TotalCO2Serum 23.1 mmol/L, MDRDGFR 47.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 211.0 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 93.0 mm[Hg], HR 79.0 /min, RR 14.0 /min, BloodGlucose 101.3 mg/dL, BloodBUN 10.5 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 139.9 mmol/L, BloodK 4.7 mmol/L, BloodChloride 102.0 mmol/L, TotalCO2Blood 23.1 mmol/L, TotalCholesterol 215.1 mg/dL, HDL 56.2 mg/dL, UACR 198.5 mg/g, MDRDGFR 25.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess"
719,719,Patient undergoes multiple mental health and substance use assessments; medication review ongoing.,1922-09-26,Kelley882,2001-09-26,2001-09-26,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,79,"SerumGlucose 100.4 mg/dL, SerumBUN 12.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 136.6 mmol/L, SerumK 4.8 mmol/L, SerumChloride 101.2 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 42.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 332.6 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 99.0 mm[Hg], HR 77.0 /min, RR 13.0 /min, BloodGlucose 100.4 mg/dL, BloodBUN 12.1 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 136.6 mmol/L, BloodK 4.8 mmol/L, BloodChloride 101.2 mmol/L, TotalCO2Blood 22.3 mmol/L, TotalCholesterol 223.4 mg/dL, HDL 57.6 mg/dL, UACR 141.3 mg/g, MDRDGFR 27.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
720,720,"Urgent care visit addressing social isolation, stress, and dental care.",1922-09-26,Kelley882,2001-10-31,2001-10-31,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,79,"SerumGlucose 117.2 mg/dL, SerumBUN 7.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 141.1 mmol/L, SerumK 4.8 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 22.3 mmol/L, MDRDGFR 43.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 211.7 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 99.0 mm[Hg], HR 61.0 /min, RR 15.0 /min, BloodGlucose 117.2 mg/dL, BloodBUN 7.1 mg/dL, BloodCreatinine 3.5 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 141.1 mmol/L, BloodK 4.8 mmol/L, BloodChloride 109.5 mmol/L, TotalCO2Blood 22.3 mmol/L, TotalCholesterol 229.0 mg/dL, HDL 48.2 mg/dL, UACR 293.8 mg/g, MDRDGFR 19.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Social isolation, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
721,721,Routine dental care.,1922-09-26,Kelley882,2001-11-14,2001-11-14,13,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),79,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
722,722,Dental referral due to gingivitis in context of multiple mental health assessments.,1922-09-26,Kelley882,2001-11-28,2001-11-28,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,79,"SerumGlucose 110.5 mg/dL, SerumBUN 15.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 137.8 mmol/L, SerumK 4.7 mmol/L, SerumChloride 108.1 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 56.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 288.6 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 81.0 mm[Hg], SBP 93.0 mm[Hg], HR 61.0 /min, RR 12.0 /min, BloodGlucose 110.5 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 4.0 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.8 mmol/L, BloodK 4.7 mmol/L, BloodChloride 108.1 mmol/L, TotalCO2Blood 27.3 mmol/L, TotalCholesterol 213.3 mg/dL, HDL 58.2 mg/dL, UACR 41.1 mg/g, MDRDGFR 16.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
723,723,Dental fluoride applied as part of routine care.,1922-09-26,Kelley882,2001-12-12,2001-12-12,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),79,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
724,724,Comprehensive mental health and medication review completed.,1922-09-26,Kelley882,2001-12-26,2001-12-26,13,outpatient,185349003,Encounter for check up (procedure),85.55,1678.07,1342.44,,,79,"SerumGlucose 109.6 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 101.6 mmol/L, TotalCO2Serum 20.4 mmol/L, MDRDGFR 50.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 202.3 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 94.0 mm[Hg], HR 82.0 /min, RR 14.0 /min, BloodGlucose 109.6 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 139.7 mmol/L, BloodK 4.5 mmol/L, BloodChloride 101.6 mmol/L, TotalCO2Blood 20.4 mmol/L, TotalCholesterol 207.6 mg/dL, HDL 45.1 mg/dL, UACR 60.0 mg/g, MDRDGFR 22.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen"
725,725,Multiple assessments and dental care advised; patient part-time employed.,1922-09-26,Kelley882,2002-01-30,2002-01-30,13,outpatient,185349003,Encounter for check up (procedure),85.55,1089.85,871.86,,,79,"SerumGlucose 107.0 mg/dL, SerumBUN 14.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.9 mmol/L, SerumChloride 109.4 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 44.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 250.4 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 97.0 mm[Hg], HR 92.0 /min, RR 15.0 /min, BloodGlucose 107.0 mg/dL, BloodBUN 14.5 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 139.6 mmol/L, BloodK 4.9 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 21.1 mmol/L, TotalCholesterol 215.1 mg/dL, HDL 57.7 mg/dL, UACR 54.3 mg/g, MDRDGFR 21.1 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
726,726,Dental treatment provided to address lost filling.,1922-09-26,Kelley882,2002-02-13,2002-02-13,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),79,,Lost filling,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
727,728,Urgent care visit addressing social isolation and mental health; medication review performed.,1922-09-26,Kelley882,2002-02-27,2002-02-27,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1220.09,976.05,,,79,"SerumGlucose 117.7 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.0 mmol/L, SerumK 5.1 mmol/L, SerumChloride 103.6 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 54.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 276.3 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 102.0 mm[Hg], HR 78.0 /min, RR 12.0 /min, BloodGlucose 117.7 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 143.0 mmol/L, BloodK 5.1 mmol/L, BloodChloride 103.6 mmol/L, TotalCO2Blood 27.4 mmol/L, TotalCholesterol 221.2 mg/dL, HDL 58.5 mg/dL, UACR 129.0 mg/g, MDRDGFR 21.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Social isolation",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
728,731,Patient working full-time; medication and psychosocial assessments performed.,1922-09-26,Kelley882,2002-03-13,2002-03-13,13,wellness,162673000,General examination of patient (procedure),136.8,866.52,693.2,,,79,"SerumGlucose 120.4 mg/dL, SerumBUN 7.1 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.8 mmol/L, SerumChloride 102.2 mmol/L, TotalCO2Serum 26.7 mmol/L, MDRDGFR 53.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 375.6 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 109.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, BloodGlucose 120.4 mg/dL, BloodBUN 7.1 mg/dL, BloodCreatinine 4.1 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 139.2 mmol/L, BloodK 4.8 mmol/L, BloodChloride 102.2 mmol/L, TotalCO2Blood 26.7 mmol/L, TotalCholesterol 219.1 mg/dL, HDL 41.5 mg/dL, UACR 99.5 mg/g, MDRDGFR 16.1 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
729,733,Patient had chest X-ray in ER for evaluation to rule out lung cancer.,1922-09-26,Kelley882,2002-03-18,2002-03-18,13,emergency,50849002,Emergency room admission (procedure),146.18,3429.38,2743.5,162573006.0,Suspected lung cancer (situation),79,,R/O lung CA,,CXR
730,734,Urgent care visit with comprehensive assessments; patient working part-time.,1922-09-26,Kelley882,2002-03-27,2002-03-27,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1224.0,979.18,,,79,"SerumGlucose 117.1 mg/dL, SerumBUN 7.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.6 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 47.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.0 pH, UrineProteinMass 249.6 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 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 98.0 mm[Hg], HR 95.0 /min, RR 15.0 /min, BloodGlucose 117.1 mg/dL, BloodBUN 7.9 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 141.6 mmol/L, BloodK 5.1 mmol/L, BloodChloride 104.3 mmol/L, TotalCO2Blood 23.7 mmol/L, TotalCholesterol 225.6 mg/dL, HDL 58.6 mg/dL, UACR 258.6 mg/g, MDRDGFR 25.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Part-time employed,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
731,736,Medication review done during urgent care visit.,1922-09-26,Kelley882,2002-04-03,2002-04-03,13,urgentcare,702927004,Urgent care clinic (environment),142.58,637.29,509.82,,,79,"SerumGlucose 116.0 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 140.8 mmol/L, SerumK 5.2 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 25.4 mmol/L, MDRDGFR 40.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 241.0 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),Med rec
732,738," ""CT scan performed for cancer assessment.""",1922-09-26,Kelley882,2002-04-10,2002-04-10,13,outpatient,185347001,Encounter for problem (procedure),85.55,4071.34,3257.07,162573006.0,Suspected lung cancer (situation),79,,,,CT CA
733,739,Sputum microbial tests done confirming diagnosis of non-small cell lung cancer.,1922-09-26,Kelley882,2002-04-15,2002-04-15,13,outpatient,185347001,Encounter for problem (procedure),85.55,2715.8,2172.64,254637007.0,Non-small cell lung cancer (disorder),79,,NSCLC,,Sputum micro
734,740,Patient undergoing mental health assessments and dental care; employed full-time; gingivitis noted.,1922-09-26,Kelley882,2002-04-24,2002-04-24,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,79,"SerumGlucose 101.2 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 139.4 mmol/L, SerumK 3.8 mmol/L, SerumChloride 108.6 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 30.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 354.6 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 94.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, BloodGlucose 101.2 mg/dL, BloodBUN 17.3 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 139.4 mmol/L, BloodK 3.8 mmol/L, BloodChloride 108.6 mmol/L, TotalCO2Blood 25.5 mmol/L, TotalCholesterol 209.2 mg/dL, HDL 47.6 mg/dL, UACR 228.9 mg/g, MDRDGFR 23.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, PHQ-9 screen, Dental referral"
735,741,Routine medication reconciliation performed.,1922-09-26,Kelley882,2002-05-01,2002-05-01,13,outpatient,185349003,Encounter for check up (procedure),85.55,1051.18,840.94,,,79,"SerumGlucose 100.2 mg/dL, SerumBUN 15.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 139.0 mmol/L, SerumK 5.2 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.0 mmol/L, MDRDGFR 40.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 234.8 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
736,742,Routine dental care performed.,1922-09-26,Kelley882,2002-05-08,2002-05-08,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),79,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
737,743,Brain MRI evaluated for staging of NSCLC - Stage 1 confirmed.,1922-09-26,Kelley882,2002-05-15,2002-05-15,13,outpatient,185347001,Encounter for problem (procedure),85.55,9652.49,7721.99,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),79,,NSCLC stage 1,,Brain vol MRI
738,744,Patient receiving multiple cycles of chemoradiation with Cisplatin and Paclitaxel for NSCLC.,1922-09-26,Kelley882,2002-05-15,2002-05-25,13,inpatient,185347001,Encounter for problem (procedure),87.71,80076.65,80076.65,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),79,,,"Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj","Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad"
739,746,Urgent care evaluation noted gingivitis and social needs; patient currently not in workforce.,1922-09-26,Kelley882,2002-06-05,2002-06-05,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,872.3,,,79,"SerumGlucose 114.6 mg/dL, SerumBUN 17.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 137.3 mmol/L, SerumK 4.3 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 41.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 310.1 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 95.0 mm[Hg], HR 96.0 /min, RR 13.0 /min, BloodGlucose 114.6 mg/dL, BloodBUN 17.3 mg/dL, BloodCreatinine 2.5 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 137.3 mmol/L, BloodK 4.3 mmol/L, BloodChloride 110.0 mmol/L, TotalCO2Blood 26.4 mmol/L, TotalCholesterol 227.9 mg/dL, HDL 48.6 mg/dL, UACR 114.0 mg/g, MDRDGFR 26.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Dental referral"
740,748,Patient employed full-time; environmental violence exposure noted; comprehensive assessments completed.,1922-09-26,Kelley882,2002-06-19,2002-06-19,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,815.27,,,79,"SerumGlucose 103.8 mg/dL, SerumBUN 14.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 142.1 mmol/L, SerumK 5.1 mmol/L, SerumChloride 107.3 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 37.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 7.0 pH, UrineProteinMass 235.2 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 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 72.0 mm[Hg], SBP 104.0 mm[Hg], HR 99.0 /min, RR 15.0 /min, BloodGlucose 103.8 mg/dL, BloodBUN 14.9 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 142.1 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.3 mmol/L, TotalCO2Blood 24.5 mmol/L, TotalCholesterol 210.4 mg/dL, HDL 50.0 mg/dL, UACR 30.7 mg/g, MDRDGFR 28.8 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Enviro violence",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Substance use assess, Drug abuse screen, Dental referral"
741,749,Standard urgent care medication management.,1922-09-26,Kelley882,2002-06-26,2002-06-26,13,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,291.74,,,79,"SerumGlucose 111.1 mg/dL, SerumBUN 14.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 142.8 mmol/L, SerumK 4.0 mmol/L, SerumChloride 108.8 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 52.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 355.3 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 %",,70/30 insulin 100u/ml susp (Humulin),
742,750,Urgent care with multiple mental health assessments and dental referral.,1922-09-26,Kelley882,2002-07-03,2002-07-03,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,872.3,,,79,"SerumGlucose 100.4 mg/dL, SerumBUN 19.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 140.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 30.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 302.8 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 77.0 mm[Hg], SBP 96.0 mm[Hg], HR 99.0 /min, RR 12.0 /min, BloodGlucose 100.4 mg/dL, BloodBUN 19.0 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 140.6 mmol/L, BloodK 4.4 mmol/L, BloodChloride 105.4 mmol/L, TotalCO2Blood 28.1 mmol/L, TotalCholesterol 220.0 mg/dL, HDL 52.5 mg/dL, UACR 176.7 mg/g, MDRDGFR 23.1 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
743,751,Dental care and fluoride applied during routine check-up.,1922-09-26,Kelley882,2002-07-10,2002-07-10,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3536.75,66383009.0,Gingivitis (disorder),79,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
744,752,Ongoing chemoradiation therapy for NSCLC.,1922-09-26,Kelley882,2002-07-17,2002-07-22,13,inpatient,185347001,Encounter for problem (procedure),87.71,47129.42,47129.42,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),79,,,"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"
745,754,Medication reconciliation and multiple screenings performed.,1922-09-26,Kelley882,2002-07-31,2002-07-31,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1088.0,1088.0,,,79,"SerumGlucose 124.5 mg/dL, SerumBUN 14.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 45.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 313.3 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 97.0 mm[Hg], HR 86.0 /min, RR 15.0 /min, BloodGlucose 124.5 mg/dL, BloodBUN 14.0 mg/dL, BloodCreatinine 4.3 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.1 mmol/L, BloodChloride 108.0 mmol/L, TotalCO2Blood 23.3 mmol/L, TotalCholesterol 213.0 mg/dL, HDL 57.1 mg/dL, UACR 174.3 mg/g, MDRDGFR 15.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen"
746,755,Medication review noted during routine check-up.,1922-09-26,Kelley882,2002-08-07,2002-08-07,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,234.71,,,79,"SerumGlucose 109.9 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 138.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 106.2 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 36.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 5.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 321.1 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),
747,756,Continued chemotherapy for NSCLC.,1922-09-26,Kelley882,2002-08-20,2002-08-25,13,inpatient,185347001,Encounter for problem (procedure),87.71,42666.9,42666.9,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),79,,,"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"
748,757,"Urgent care addressing medication review, mental health, substance use, and dental health; patient stressed.",1922-09-26,Kelley882,2002-09-04,2002-09-04,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1222.19,1222.19,,,79,"SerumGlucose 106.8 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.6 mmol/L, TotalCO2Serum 28.6 mmol/L, MDRDGFR 41.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 341.1 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 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 78.0 mm[Hg], SBP 96.0 mm[Hg], HR 75.0 /min, RR 13.0 /min, BloodGlucose 106.8 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 139.6 mmol/L, BloodK 4.4 mmol/L, BloodChloride 104.6 mmol/L, TotalCO2Blood 28.6 mmol/L, TotalCholesterol 215.8 mg/dL, HDL 54.4 mg/dL, UACR 230.1 mg/g, MDRDGFR 17.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Stress,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
749,758,Routine dental care with fluoride treatment provided.,1922-09-26,Kelley882,2002-09-18,2002-09-18,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3536.75,103697008.0,Patient referral for dental care (procedure),79,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
750,759,Urgent care visit with mental health and medication reconciliation.,1922-09-26,Kelley882,2002-10-02,2002-10-02,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1340.72,987.68,,,80,"SerumGlucose 123.7 mg/dL, SerumBUN 12.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.3 mmol/L, SerumChloride 101.6 mmol/L, TotalCO2Serum 25.2 mmol/L, MDRDGFR 45.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 274.2 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 96.0 mm[Hg], HR 77.0 /min, RR 13.0 /min, BloodGlucose 123.7 mg/dL, BloodBUN 12.7 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 138.7 mmol/L, BloodK 4.3 mmol/L, BloodChloride 101.6 mmol/L, TotalCO2Blood 25.2 mmol/L, TotalCholesterol 214.0 mg/dL, HDL 52.5 mg/dL, UACR 74.5 mg/g, MDRDGFR 24.3 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
751,761,Medication review during check-up; insulin therapy ongoing.,1922-09-26,Kelley882,2002-10-09,2002-10-09,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,80,"SerumGlucose 110.9 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 140.0 mmol/L, SerumK 4.9 mmol/L, SerumChloride 108.1 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 53.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 224.5 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),
752,762,Chemoradiation continued for NSCLC.,1922-09-26,Kelley882,2002-10-16,2002-10-20,13,inpatient,185347001,Encounter for problem (procedure),87.71,41611.8,33289.43,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),80,,,"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"
753,765,Patient experienced stress and limited social contacts; gingivitis noted and managed.,1922-09-26,Kelley882,2002-10-30,2002-10-30,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1088.0,870.38,,,80,"SerumGlucose 105.0 mg/dL, SerumBUN 12.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 140.8 mmol/L, SerumK 4.3 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 21.2 mmol/L, MDRDGFR 49.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 238.5 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 77.0 mm[Hg], SBP 104.0 mm[Hg], HR 79.0 /min, RR 14.0 /min, BloodGlucose 105.0 mg/dL, BloodBUN 12.9 mg/dL, BloodCreatinine 2.9 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 140.8 mmol/L, BloodK 4.3 mmol/L, BloodChloride 105.3 mmol/L, TotalCO2Blood 21.2 mmol/L, TotalCholesterol 231.5 mg/dL, HDL 43.8 mg/dL, UACR 224.5 mg/g, MDRDGFR 22.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Limited social contact, Stress, Gingivitis",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
754,767,Routine medication review performed.,1922-09-26,Kelley882,2002-11-06,2002-11-06,13,outpatient,185349003,Encounter for check up (procedure),85.55,1097.51,878.0,,,80,"SerumGlucose 121.8 mg/dL, SerumBUN 8.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 136.2 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.0 mmol/L, TotalCO2Serum 25.5 mmol/L, MDRDGFR 47.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 382.5 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),Med rec
755,769,Patient socially isolated; mental health assessments performed.,1922-09-26,Kelley882,2002-11-13,2002-11-13,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 101.7 mg/dL, SerumBUN 13.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 140.2 mmol/L, SerumK 4.7 mmol/L, SerumChloride 110.2 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 56.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 394.9 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 %, Height 166.3 cm, PainScore 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 100.0 mm[Hg], HR 69.0 /min, RR 14.0 /min, BloodGlucose 101.7 mg/dL, BloodBUN 13.4 mg/dL, BloodCreatinine 2.9 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 140.2 mmol/L, BloodK 4.7 mmol/L, BloodChloride 110.2 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 217.5 mg/dL, HDL 44.5 mg/dL, UACR 170.5 mg/g, MDRDGFR 22.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Social isolation",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
756,773,ER admission with medication reconciliation and insulin therapy continued.,1922-09-26,Kelley882,2002-11-20,2002-11-20,13,emergency,50849002,Emergency room admission (procedure),146.18,573.61,458.88,,,80,"SerumGlucose 108.8 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 140.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 109.6 mmol/L, TotalCO2Serum 26.6 mmol/L, MDRDGFR 36.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 233.3 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
757,774,ER admission with multiple assessments; patient part-time employed.,1922-09-26,Kelley882,2002-11-27,2002-11-27,13,emergency,50849002,Emergency room admission (procedure),146.18,875.9,700.7,,,80,"SerumGlucose 108.9 mg/dL, SerumBUN 8.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 137.7 mmol/L, SerumK 4.4 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 26.5 mmol/L, MDRDGFR 30.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 212.3 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 92.0 mm[Hg], HR 90.0 /min, RR 16.0 /min, BloodGlucose 108.9 mg/dL, BloodBUN 8.5 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 137.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 104.7 mmol/L, TotalCO2Blood 26.5 mmol/L, TotalCholesterol 235.6 mg/dL, HDL 46.7 mg/dL, UACR 277.5 mg/g, MDRDGFR 24.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Substance use assess, AUDIT-C assess, Dental referral"
758,775,Routine urgent care encounter with insulin therapy.,1922-09-26,Kelley882,2002-12-04,2002-12-04,13,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,80,"SerumGlucose 110.0 mg/dL, SerumBUN 14.8 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 143.5 mmol/L, SerumK 4.9 mmol/L, SerumChloride 105.8 mmol/L, TotalCO2Serum 28.9 mmol/L, MDRDGFR 50.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 387.3 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 %",,70/30 insulin 100u/ml susp (Humulin),
759,776,"Patient socially isolated, not working; environmental violence exposure noted.",1922-09-26,Kelley882,2002-12-11,2002-12-11,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 113.3 mg/dL, SerumBUN 18.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 137.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 25.6 mmol/L, MDRDGFR 34.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 0.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 223.7 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 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 101.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, BloodGlucose 113.3 mg/dL, BloodBUN 18.9 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 137.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 25.6 mmol/L, TotalCholesterol 220.1 mg/dL, HDL 46.3 mg/dL, UACR 202.8 mg/g, MDRDGFR 17.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Social isolation, Enviro violence",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
760,779,Medication review completed during check up.,1922-09-26,Kelley882,2002-12-18,2002-12-18,13,outpatient,185349003,Encounter for check up (procedure),85.55,512.74,410.18,,,80,"SerumGlucose 110.0 mg/dL, SerumBUN 10.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 140.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 35.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 280.1 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
761,780,ER admission with mental health and social assessments; patient employed full-time; intimate partner violence reported.,1922-09-26,Kelley882,2002-12-25,2002-12-25,13,emergency,50849002,Emergency room admission (procedure),146.18,1091.6,873.26,,,80,"SerumGlucose 122.6 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 143.6 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.3 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 57.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 241.6 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 79.0 mm[Hg], SBP 94.0 mm[Hg], HR 76.0 /min, RR 13.0 /min, BloodGlucose 122.6 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 3.6 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 143.6 mmol/L, BloodK 3.8 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 20.3 mmol/L, TotalCholesterol 202.5 mg/dL, HDL 48.6 mg/dL, UACR 182.9 mg/g, MDRDGFR 17.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Stress, IPV",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
762,781,Medication review noted in urgent care setting.,1922-09-26,Kelley882,2003-01-01,2003-01-01,13,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,80,"SerumGlucose 114.6 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 138.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 34.9 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 387.2 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 %",Med review due,70/30 insulin 100u/ml susp (Humulin),
763,782,Comprehensive urgent care assessments performed.,1922-09-26,Kelley882,2003-01-08,2003-01-08,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 105.5 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 139.3 mmol/L, SerumK 3.7 mmol/L, SerumChloride 101.0 mmol/L, TotalCO2Serum 20.3 mmol/L, MDRDGFR 48.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 357.9 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 %, Height 166.3 cm, PainScore 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 73.0 mm[Hg], SBP 106.0 mm[Hg], HR 78.0 /min, RR 16.0 /min, BloodGlucose 105.5 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 139.3 mmol/L, BloodK 3.7 mmol/L, BloodChloride 101.0 mmol/L, TotalCO2Blood 20.3 mmol/L, TotalCholesterol 226.4 mg/dL, HDL 51.0 mg/dL, UACR 200.0 mg/g, MDRDGFR 25.1 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
764,785,Medication management ongoing during routine visit.,1922-09-26,Kelley882,2003-01-15,2003-01-15,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,80,"SerumGlucose 107.7 mg/dL, SerumBUN 14.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 53.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 382.1 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 %",,70/30 insulin 100u/ml susp (Humulin),
765,787,ER admission including comprehensive mental health and dental assessments.,1922-09-26,Kelley882,2003-01-22,2003-01-22,13,emergency,50849002,Emergency room admission (procedure),146.18,1701.18,1360.92,,,80,"SerumGlucose 106.8 mg/dL, SerumBUN 18.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 137.8 mmol/L, SerumK 3.8 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 28.2 mmol/L, MDRDGFR 36.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 392.2 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 76.0 mm[Hg], SBP 95.0 mm[Hg], HR 62.0 /min, RR 13.0 /min, BloodGlucose 106.8 mg/dL, BloodBUN 18.3 mg/dL, BloodCreatinine 3.7 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 137.8 mmol/L, BloodK 3.8 mmol/L, BloodChloride 107.0 mmol/L, TotalCO2Blood 28.2 mmol/L, TotalCholesterol 233.8 mg/dL, HDL 56.0 mg/dL, UACR 274.4 mg/g, MDRDGFR 17.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess, Dental referral"
766,789,Urgent care medication review performed.,1922-09-26,Kelley882,2003-01-29,2003-01-29,13,urgentcare,702927004,Urgent care clinic (environment),142.58,507.44,405.94,,,80,"SerumGlucose 100.5 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 136.8 mmol/L, SerumK 4.5 mmol/L, SerumChloride 107.2 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 51.7 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 260.1 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),Med rec
767,790,Multiple assessments and medication review during urgent care encounter.,1922-09-26,Kelley882,2003-02-05,2003-02-05,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1088.0,870.38,,,80,"SerumGlucose 122.9 mg/dL, SerumBUN 14.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 138.6 mmol/L, SerumK 4.3 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 25.8 mmol/L, MDRDGFR 35.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 262.6 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 75.0 mm[Hg], SBP 100.0 mm[Hg], HR 66.0 /min, RR 14.0 /min, BloodGlucose 122.9 mg/dL, BloodBUN 14.0 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 138.6 mmol/L, BloodK 4.3 mmol/L, BloodChloride 106.8 mmol/L, TotalCO2Blood 25.8 mmol/L, TotalCholesterol 225.7 mg/dL, HDL 50.0 mg/dL, UACR 82.6 mg/g, MDRDGFR 27.7 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
768,791,Routine medication review noted.,1922-09-26,Kelley882,2003-02-12,2003-02-12,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,80,"SerumGlucose 100.0 mg/dL, SerumBUN 8.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 139.1 mmol/L, SerumK 3.8 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 27.7 mmol/L, MDRDGFR 57.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 252.6 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),
769,792,Patient stressed and socially isolated; not working; ER admission with extensive assessments.,1922-09-26,Kelley882,2003-02-19,2003-02-19,13,emergency,50849002,Emergency room admission (procedure),146.18,875.9,700.7,,,80,"SerumGlucose 103.6 mg/dL, SerumBUN 9.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.7 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 36.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {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 1.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 243.3 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 74.0 mm[Hg], SBP 92.0 mm[Hg], HR 61.0 /min, RR 15.0 /min, BloodGlucose 103.6 mg/dL, BloodBUN 9.5 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 139.7 mmol/L, BloodK 4.7 mmol/L, BloodChloride 109.9 mmol/L, TotalCO2Blood 24.0 mmol/L, TotalCholesterol 206.7 mg/dL, HDL 43.5 mg/dL, UACR 92.6 mg/g, MDRDGFR 20.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
770,793,Medication reconciliation performed in urgent care.,1922-09-26,Kelley882,2003-02-26,2003-02-26,13,urgentcare,702927004,Urgent care clinic (environment),142.58,921.71,737.36,,,80,"SerumGlucose 113.8 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 140.9 mmol/L, SerumK 4.4 mmol/L, SerumChloride 103.8 mmol/L, TotalCO2Serum 24.3 mmol/L, MDRDGFR 48.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 339.2 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
771,794,Patient employed full-time; medication and psychosocial assessments performed.,1922-09-26,Kelley882,2003-03-05,2003-03-05,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1345.26,1076.19,,,80,"SerumGlucose 110.5 mg/dL, SerumBUN 8.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.2 mmol/L, SerumK 4.6 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 27.0 mmol/L, MDRDGFR 49.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 283.7 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 93.0 mm[Hg], HR 70.0 /min, RR 15.0 /min, BloodGlucose 110.5 mg/dL, BloodBUN 8.9 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 143.2 mmol/L, BloodK 4.6 mmol/L, BloodChloride 105.4 mmol/L, TotalCO2Blood 27.0 mmol/L, TotalCholesterol 201.2 mg/dL, HDL 58.6 mg/dL, UACR 98.8 mg/g, MDRDGFR 28.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed",70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
772,795,Routine dental exams and care.,1922-09-26,Kelley882,2003-03-12,2003-03-12,13,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,103697008.0,Patient referral for dental care (procedure),80,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
773,796,Presentation with viral sinusitis; managed symptomatically.,1922-09-26,Kelley882,2003-03-19,2003-03-19,13,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),80,,Viral sinusitis,,
774,797,Ongoing chemoradiation therapy continued.,1922-09-26,Kelley882,2003-03-19,2003-03-23,13,inpatient,185347001,Encounter for problem (procedure),87.71,48644.39,38915.51,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),80,,,"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"
775,798,Comprehensive exam and assessments performed with ongoing insulin therapy.,1922-09-26,Kelley882,2003-04-02,2003-04-02,13,wellness,162673000,General examination of patient (procedure),136.8,1218.22,974.56,,,80,"SerumGlucose 110.5 mg/dL, SerumBUN 16.0 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 138.5 mmol/L, SerumK 4.6 mmol/L, SerumChloride 106.1 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 40.4 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 318.4 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 79.0 mm[Hg], SBP 98.0 mm[Hg], HR 76.0 /min, RR 14.0 /min, BloodGlucose 110.5 mg/dL, BloodBUN 16.0 mg/dL, BloodCreatinine 2.3 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 106.1 mmol/L, TotalCO2Blood 24.5 mmol/L, TotalCholesterol 233.4 mg/dL, HDL 48.2 mg/dL, UACR 152.8 mg/g, MDRDGFR 27.9 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Med review due,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
776,799,Medication review noted during ER admission.,1922-09-26,Kelley882,2003-04-09,2003-04-09,13,emergency,50849002,Emergency room admission (procedure),146.18,295.34,236.26,,,80,"SerumGlucose 113.0 mg/dL, SerumBUN 17.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 139.5 mmol/L, SerumK 4.6 mmol/L, SerumChloride 108.9 mmol/L, TotalCO2Serum 20.6 mmol/L, MDRDGFR 37.8 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {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 1.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 286.8 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 %",Med review due,70/30 insulin 100u/ml susp (Humulin),
777,800,Mental health and medication review in urgent care.,1922-09-26,Kelley882,2003-04-16,2003-04-16,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1735.1,1388.06,,,80,"SerumGlucose 101.0 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 138.9 mmol/L, SerumK 4.8 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 25.7 mmol/L, MDRDGFR 41.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 209.7 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 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 82.0 mm[Hg], SBP 102.0 mm[Hg], HR 75.0 /min, RR 13.0 /min, BloodGlucose 101.0 mg/dL, BloodBUN 12.3 mg/dL, BloodCreatinine 3.3 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 109.9 mmol/L, TotalCO2Blood 25.7 mmol/L, TotalCholesterol 210.2 mg/dL, HDL 40.8 mg/dL, UACR 245.3 mg/g, MDRDGFR 19.8 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,70/30 insulin 100u/ml susp (Humulin),"Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
778,801,Medication reconciliation done.,1922-09-26,Kelley882,2003-04-23,2003-04-23,13,urgentcare,702927004,Urgent care clinic (environment),142.58,604.08,483.25,,,80,"SerumGlucose 123.2 mg/dL, SerumBUN 11.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 137.6 mmol/L, SerumK 4.1 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 41.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.5 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 273.2 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 %",Med review due,70/30 insulin 100u/ml susp (Humulin),Med rec
779,802,Patient stressed; medication review performed.,1922-09-26,Kelley882,2003-04-30,2003-04-30,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,80,"SerumGlucose 107.9 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 141.8 mmol/L, SerumK 4.7 mmol/L, SerumChloride 109.1 mmol/L, TotalCO2Serum 20.9 mmol/L, MDRDGFR 40.1 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 230.5 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 76.0 mm[Hg], SBP 97.0 mm[Hg], HR 67.0 /min, RR 15.0 /min, BloodGlucose 107.9 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 4.2 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 141.8 mmol/L, BloodK 4.7 mmol/L, BloodChloride 109.1 mmol/L, TotalCO2Blood 20.9 mmol/L, TotalCholesterol 209.3 mg/dL, HDL 51.3 mg/dL, UACR 137.1 mg/g, MDRDGFR 15.4 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
780,803,Chemoradiation ongoing.,1922-09-26,Kelley882,2003-05-07,2003-05-10,13,inpatient,185347001,Encounter for problem (procedure),87.71,46177.56,36942.04,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),80,,,"Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj","Chemorad, Chemorad, Chemorad"
781,804,Urgent care addressing mental health and dental issues; gingivitis noted.,1922-09-26,Kelley882,2003-05-21,2003-05-21,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 114.6 mg/dL, SerumBUN 16.9 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 136.8 mmol/L, SerumK 3.7 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 27.9 mmol/L, MDRDGFR 37.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 320.3 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 76.0 mm[Hg], SBP 101.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, BloodGlucose 114.6 mg/dL, BloodBUN 16.9 mg/dL, BloodCreatinine 3.9 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 136.8 mmol/L, BloodK 3.7 mmol/L, BloodChloride 109.5 mmol/L, TotalCO2Blood 27.9 mmol/L, TotalCholesterol 218.2 mg/dL, HDL 52.1 mg/dL, UACR 72.3 mg/g, MDRDGFR 16.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral"
782,811,Fluoride treatment and dental care provided.,1922-09-26,Kelley882,2003-06-04,2003-06-04,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),80,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
783,812,Dental referral for gingivitis during urgent care mental health assessment.,1922-09-26,Kelley882,2003-06-18,2003-06-18,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 120.4 mg/dL, SerumBUN 11.0 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 142.3 mmol/L, SerumK 4.4 mmol/L, SerumChloride 101.1 mmol/L, TotalCO2Serum 25.2 mmol/L, MDRDGFR 37.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.8 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 273.9 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 %, Height 166.3 cm, PainScore 0.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 74.0 mm[Hg], SBP 100.0 mm[Hg], HR 66.0 /min, RR 15.0 /min, BloodGlucose 120.4 mg/dL, BloodBUN 11.0 mg/dL, BloodCreatinine 2.2 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 142.3 mmol/L, BloodK 4.4 mmol/L, BloodChloride 101.1 mmol/L, TotalCO2Blood 25.2 mmol/L, TotalCholesterol 233.7 mg/dL, HDL 50.0 mg/dL, UACR 255.8 mg/g, MDRDGFR 29.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
784,813,Active chemotherapy for NSCLC.,1922-09-26,Kelley882,2003-06-25,2003-06-29,13,inpatient,185347001,Encounter for problem (procedure),87.71,42004.04,33603.23,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),80,,,"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"
785,814,Cardiac assessment performed including ECG and stress test; NYHA class evaluated for chronic congestive heart failure.,1922-09-26,Kelley882,2003-07-09,2003-07-09,13,ambulatory,185347001,Encounter for problem (procedure),85.55,1901.81,1521.42,88805009.0,Chronic congestive heart failure (disorder),80,"Symptom Dyspnea on exertion (finding) nan, Symptom Dyspnea (finding) nan, Symptom Paroxysmal dyspnea (finding) nan, Symptom Orthopnea (finding) nan, Symptom Edema (finding) nan, Symptom Rales (finding) nan, Weight 77.3 kg, NTproBNP 939.8 pg/mL, AutoWBCCount 7.9 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 13.3 g/dL, AutoHct 40.7 %, AutoMCV 86.0 fL, MCH 29.5 pg, MCHC 35.2 g/dL, RDW 14.2 %, PlateletCount 438.0 10*3/uL, SerumGlucose 113.9 mg/dL, SerumBUN 15.1 mg/dL, SerumCreatinine 3.1 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 138.5 mmol/L, SerumK 5.1 mmol/L, SerumChloride 103.0 mmol/L, TotalCO2Serum 26.9 mmol/L, MDRDGFR 20.6 mL/min, SerumProtein 7.3 g/dL, AlbuminMass 4.9 g/dL, TotalBilirubin 0.4 mg/dL, AlkPhosActivity 107.1 U/L, ALT 15.5 U/L, AST 18.8 U/L, SerumMagnesium 2.0 mg/dL, TotalCholesterol 237.0 mg/dL, HDL 47.7 mg/dL, HbA1c 4.0 %, hsTnI 0.0 pg/mL, Ferritin 82.7 ug/L, Iron 109.7 ug/dL, TIBC 313.1 ug/dL, IronSat 35.3 %, NYHAClass Class II nan, NYHAAssessment Objective evidence of moderately severe cardiovascular disease nan",Chronic CHF,,"ECG, CV stress test, NYHA class assess"
786,815,Dental care including fluoride therapy.,1922-09-26,Kelley882,2003-07-16,2003-07-16,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),80,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
787,816,"Urgent care evaluations, patient working part-time with limited social contact.",1922-09-26,Kelley882,2003-07-30,2003-07-30,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 104.6 mg/dL, SerumBUN 9.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 142.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 41.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 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 5.8 pH, UrineProteinMass 391.9 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 %, Height 166.3 cm, PainScore 2.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 75.0 mm[Hg], SBP 98.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, BloodGlucose 104.6 mg/dL, BloodBUN 9.9 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 142.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.6 mmol/L, TotalCO2Blood 27.2 mmol/L, TotalCholesterol 231.3 mg/dL, HDL 45.6 mg/dL, UACR 127.2 mg/g, MDRDGFR 27.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Limited social contact",70/30 insulin 100u/ml susp (Humulin),"Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
788,817,Medication reconciliation completed.,1922-09-26,Kelley882,2003-08-06,2003-08-06,13,outpatient,185349003,Encounter for check up (procedure),85.55,450.41,360.32,,,80,"SerumGlucose 109.6 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 136.8 mmol/L, SerumK 4.9 mmol/L, SerumChloride 102.5 mmol/L, TotalCO2Serum 22.7 mmol/L, MDRDGFR 41.5 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.6 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 309.8 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 %",,70/30 insulin 100u/ml susp (Humulin),Med rec
789,818,Echocardiogram performed; medications adjusted for cardiac function.,1922-09-26,Kelley882,2003-08-13,2003-08-13,13,ambulatory,185347001,Encounter for problem (procedure),85.55,795.53,636.42,88805009.0,Chronic congestive heart failure (disorder),80,"LVEF 49.0 %, BloodGlucose 109.3 mg/dL, BloodBUN 16.7 mg/dL, BloodCreatinine 3.8 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 141.2 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.0 mmol/L, TotalCO2Blood 23.2 mmol/L",,"Lasix 40mg tab, Carvedilol 25mg tab, Losartan 50mg tab","Echo, Med rec"
790,819,Continuation of multiple rounds of chemoradiation therapy.,1922-09-26,Kelley882,2003-08-13,2003-08-21,13,inpatient,185347001,Encounter for problem (procedure),87.71,106228.03,84982.41,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),80,,,"Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj","Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad"
791,820,Urgent care visit with medication management; patient stressed and exposed to environmental violence; working full-time.,1922-09-26,Kelley882,2003-09-03,2003-09-03,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 111.3 mg/dL, SerumBUN 17.5 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.1 mmol/L, SerumChloride 101.8 mmol/L, TotalCO2Serum 25.4 mmol/L, MDRDGFR 53.0 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 299.7 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 52.0 mm[Hg], SBP 73.0 mm[Hg], HR 74.0 /min, RR 15.0 /min, BloodGlucose 111.3 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 2.6 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 139.6 mmol/L, BloodK 4.1 mmol/L, BloodChloride 101.8 mmol/L, TotalCO2Blood 25.4 mmol/L, TotalCholesterol 217.0 mg/dL, HDL 44.9 mg/dL, UACR 72.2 mg/g, MDRDGFR 25.0 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Stress, Enviro violence","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
792,821,Patient not working; gingivitis diagnosed and dental referral made.,1922-09-26,Kelley882,2003-09-17,2003-09-17,13,urgentcare,702927004,Urgent care clinic (environment),142.58,872.3,697.82,,,80,"SerumGlucose 102.2 mg/dL, SerumBUN 13.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.5 mmol/L, SerumK 3.9 mmol/L, SerumChloride 103.4 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 34.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.1 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 379.9 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 %, Height 166.3 cm, PainScore 3.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 58.0 mm[Hg], SBP 71.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 102.2 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 2.4 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 141.5 mmol/L, BloodK 3.9 mmol/L, BloodChloride 103.4 mmol/L, TotalCO2Blood 21.1 mmol/L, TotalCholesterol 231.0 mg/dL, HDL 50.0 mg/dL, UACR 288.1 mg/g, MDRDGFR 27.2 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Gingivitis","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab","Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, Drug abuse screen, Dental referral"
793,822,Medication reconciliation performed during check-up.,1922-09-26,Kelley882,2003-09-24,2003-09-24,13,outpatient,185349003,Encounter for check up (procedure),85.55,697.39,557.9,,,80,"SerumGlucose 118.3 mg/dL, SerumBUN 19.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 143.0 mmol/L, SerumK 4.2 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 33.6 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.7 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 375.0 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 %",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab",Med rec
794,823,Dental care and fluoride treatment performed.,1922-09-26,Kelley882,2003-10-01,2003-10-01,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2746.95,66383009.0,Gingivitis (disorder),81,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
795,824,Ongoing chemotherapy for NSCLC.,1922-09-26,Kelley882,2003-10-08,2003-10-13,13,inpatient,185347001,Encounter for problem (procedure),87.71,68621.01,54896.82,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),81,,,"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"
796,825,Urgent care visit including mental health assessments; patient socially isolated but employed full-time.,1922-09-26,Kelley882,2003-10-22,2003-10-22,13,urgentcare,702927004,Urgent care clinic (environment),142.58,1224.0,979.18,,,81,"SerumGlucose 101.2 mg/dL, SerumBUN 10.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 138.1 mmol/L, SerumK 3.9 mmol/L, SerumChloride 107.0 mmol/L, TotalCO2Serum 25.0 mmol/L, MDRDGFR 39.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.2 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 7.0 pH, UrineProteinMass 390.7 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 1.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 50.0 mm[Hg], SBP 67.0 mm[Hg], HR 85.0 /min, RR 16.0 /min, BloodGlucose 101.2 mg/dL, BloodBUN 10.2 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.1 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.0 mmol/L, TotalCO2Blood 25.0 mmol/L, TotalCholesterol 222.4 mg/dL, HDL 57.1 mg/dL, UACR 79.3 mg/g, MDRDGFR 19.6 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Social isolation","70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, PHQ-9 screen"
797,826,Medication therapy continued with insulin and cardiac medications.,1922-09-26,Kelley882,2003-10-29,2003-10-29,13,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,81,"SerumGlucose 105.9 mg/dL, SerumBUN 18.4 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 136.0 mmol/L, SerumK 4.1 mmol/L, SerumChloride 102.3 mmol/L, TotalCO2Serum 22.0 mmol/L, MDRDGFR 32.3 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.4 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 356.0 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",
798,827,Chemoradiation for NSCLC continued.,1922-09-26,Kelley882,2003-11-11,2003-11-19,13,inpatient,185347001,Encounter for problem (procedure),87.71,81946.99,65557.59,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),81,,,"Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj, Cisplatin 50mg inj, Paclitaxel 100mg inj","Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad, Chemorad"
799,828,Multiple mental health and substance use screens conducted.,1922-09-26,Kelley882,2003-11-26,2003-11-26,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,81,"SerumGlucose 119.2 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 141.2 mmol/L, SerumK 5.0 mmol/L, SerumChloride 106.6 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 48.2 mL/min/{1.73_m2}, UrineAppearance Cloudy urine (finding) {nominal}, UrineOdor Urine smell ammoniacal (finding) {nominal}, UrineClarity Translucent (qualifier value) {nominal}, UrineColor Brown color (qualifier value) {nominal}, UrineGlucoseMass 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 394.2 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 4.0 {score}, Weight 77.3 kg, BMI 28.0 kg/m2, DBP 61.0 mm[Hg], SBP 77.0 mm[Hg], HR 82.0 /min, RR 15.0 /min, BloodGlucose 119.2 mg/dL, BloodBUN 15.7 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 141.2 mmol/L, BloodK 5.0 mmol/L, BloodChloride 106.6 mmol/L, TotalCO2Blood 25.9 mmol/L, TotalCholesterol 200.4 mg/dL, HDL 47.2 mg/dL, UACR 143.1 mg/g, MDRDGFR 19.5 mL/min/{1.73_m2}, SmokingStatus Never smoked tobacco (finding) nan",,"70/30 insulin 100u/ml susp (Humulin), Carvedilol 25mg tab, Lasix 40mg tab, Losartan 50mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
800,829,Dental referral made due to gingivitis during comprehensive mental health evaluation.,1922-09-26,Kelley882,2003-12-10,2003-12-10,13,outpatient,185349003,Encounter for check up (procedure),85.55,1030.97,824.76,,,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"
801,830,Medication reconciliation and review performed.,1922-09-26,Kelley882,2003-12-17,2003-12-17,13,urgentcare,702927004,Urgent care clinic (environment),142.58,944.79,755.82,,,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
802,831,Dental care with fluoride treatment administered.,1922-09-26,Kelley882,2003-12-24,2003-12-24,13,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),81,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
803,832,Continuing cancer treatment with chemotherapy.,1922-09-26,Kelley882,2003-12-31,2004-01-06,13,inpatient,185347001,Encounter for problem (procedure),87.71,53065.42,42452.32,424132000.0,Non-small cell carcinoma of lung  TNM stage 1 (disorder),81,,,"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"
804,833,Comprehensive mental health and substance use assessments performed; medication review ongoing.,1922-09-26,Kelley882,2004-01-14,2004-01-14,13,outpatient,185349003,Encounter for check up (procedure),85.55,815.27,652.2,,,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"
805,834,Patient admitted with respiratory support including oxygen mask and prone positioning; chest X-ray performed.,1922-09-26,Kelley882,2004-02-09,2004-02-09,13,emergency,185347001,Encounter for problem (procedure),87.71,9991.93,7993.52,88805009.0,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 %",,,"O2 mask, Prone position, CXR"
806,835,"ICU admission with medication reconciliation, cardiac monitoring, and respiratory support.",1922-09-26,Kelley882,2004-02-09,2004-02-10,13,inpatient,305351004,Admission to intensive care unit (procedure),146.18,2634.71,2107.74,88805009.0,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 %",,"10ml Lasix 10mg/ml inj, 10ml Lasix 10mg/ml inj","Med rec, ECG, O2 mask, Prone position"
807,836,Patient deceased at age 81; death certification completed.,1922-09-26,Kelley882,2004-02-18,2004-02-18,13,wellness,308646001,Death Certification,136.8,211.38,169.1,88805009.0,Chronic congestive heart failure (disorder),81,DeathCause Chronic congestive heart failure (disorder) nan,,,
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,Darell496,2013-01-28,2013-01-28,14,wellness,410620009,Well child visit (procedure),136.8,1149.32,0.0,,,16,,Risk behaviors,,
809,729,Annual well child visit at age 17. Medication review due to ongoing evaluations.,1996-12-16,Darell496,2014-02-03,2014-02-03,14,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,17,,Med review due,,
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,Darell496,2015-01-21,2015-01-21,14,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),18,,"Chronic pain, Chronic LBP",,
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,Darell496,2015-02-09,2015-02-09,14,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,"Higher ed, Part-time employed, Social isolation, Stress, Enviro violence",Ibuprofen 400mg tab (Ibu),
812,735,Follow-up visit for ongoing pain symptoms; started on APAP 300mg/Hydrocodone 5mg for pain control.,1996-12-16,Darell496,2015-03-05,2015-03-05,14,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),18,,,APAP 300mg/Hydrocodone 5mg tab,
813,737,Patient evaluated for sore throat; throat culture performed confirming strep throat. Treated with Penicillin VK 250mg.,1996-12-16,Darell496,2015-04-26,2015-04-26,14,ambulatory,185345009,Encounter for symptom (procedure),85.55,2908.54,0.0,43878008.0,Streptococcal sore throat (disorder),18,BodyTemp 37.8 Cel,Strep throat,PCN VK 250mg tab,Throat culture
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,Darell496,2016-02-15,2016-02-15,14,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,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"
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,Darell496,2016-02-29,2016-02-29,14,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),19,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
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,Darell496,2017-02-20,2017-02-20,14,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,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"
817,760,Routine dental follow-up with bitewing imaging and preventive care. NaF 2.72% oral gel continued.,1996-12-16,Darell496,2017-03-06,2017-03-06,14,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,66383009.0,Gingivitis (disorder),20,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
818,763,Patient presents with symptoms of viral sinusitis. Treated with Amoxicillin/Clavulanate 250/125mg.,1996-12-16,Darell496,2017-08-31,2017-08-31,14,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),20,,Viral sinusitis,Amox/Clav 250/125mg tab,
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,Darell496,2018-02-26,2018-02-26,14,wellness,162673000,General examination of patient (procedure),136.8,1186.78,0.0,,,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"
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,Darell496,2019-03-04,2019-03-04,14,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,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"
821,768,Dental exam and cleaning with fluoride treatment and education given. NaF 2.72% oral gel prescribed.,1996-12-16,Darell496,2019-03-18,2019-03-18,14,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2197.94,66383009.0,Gingivitis (disorder),22,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
822,770,Extensive health and social needs assessments performed; patient reports limited social contact. Ibuprofen 400mg continued.,1996-12-16,Darell496,2020-03-09,2020-03-09,14,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,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"
823,771,Patient presents with sore throat symptoms diagnosed as acute viral pharyngitis. No antibiotics prescribed.,1996-12-16,Darell496,2020-03-15,2020-03-15,14,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,195662009.0,Acute viral pharyngitis (disorder),23,BodyTemp 37.1 Cel,Acute viral pharyngitis,,
824,772,Routine dental check-up with comprehensive cleaning. NaF 2.72% oral gel provided.,1996-12-16,Darell496,2020-03-23,2020-03-23,14,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2502.7,103697008.0,Patient referral for dental care (procedure),23,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
825,777,Emergency visit for ankle sprain at age 23. Treated with Ibuprofen 200mg for pain and inflammation.,1996-12-16,Darell496,2020-06-08,2020-06-08,14,emergency,50849002,Emergency room admission (procedure),146.18,146.18,116.94,384709000.0,Sprain (morphologic abnormality),23,,"Sprain, Ankle sprain",Ibuprofen 200mg tab,
826,778,Vaccination given at age 24 to induce active immunity.,1996-12-16,Darell496,2021-01-25,2021-01-25,14,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,24,,,,
827,783,Second vaccination administered at age 24.,1996-12-16,Darell496,2021-02-15,2021-02-15,14,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,24,,,,
828,784,General exam with medication reconciliation and mental health assessments show patient experiences stress. Ibuprofen 400mg prescribed as needed.,1996-12-16,Darell496,2021-03-15,2021-03-15,14,wellness,162673000,General examination of patient (procedure),136.8,919.9,0.0,,,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"
829,786,Patient evaluated for acute bronchitis with sputum exam. Treated with APAP 325mg and Ibuprofen 400mg for symptom relief.,1996-12-16,Darell496,2022-01-22,2022-01-22,14,ambulatory,185345009,Encounter for symptom (procedure),85.55,3549.03,0.0,10509002.0,Acute bronchitis (disorder),25,,Acute bronchitis,"APAP 325mg tab, Ibuprofen 400mg tab (Ibu)",Sputum exam
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,Darell496,2022-01-31,2022-01-31,14,outpatient,185349003,Encounter for check up (procedure),85.55,652.95,0.0,,,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"
831,805,Health exam reveals gingivitis with depression screening and dental referral ongoing. Ibuprofen 400mg prescribed for symptomatic management.,1996-12-16,Darell496,2022-03-21,2022-03-21,14,wellness,162673000,General examination of patient (procedure),136.8,568.2,0.0,,,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"
832,806,Dental check-up with cleaning and oral health education provided. No medications prescribed at this visit.,1996-12-16,Darell496,2022-04-04,2022-04-04,14,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,1115.84,66383009.0,Gingivitis (disorder),25,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
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,Darell496,2023-03-27,2023-03-27,14,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,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"
834,808,Emergency room visit for ankle sprain at age 26 treated with APAP 325mg for pain control.,1996-12-16,Darell496,2023-04-02,2023-04-02,14,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,384709000.0,Sprain (morphologic abnormality),26,,"Sprain, Ankle sprain",APAP 325mg tab,
835,809,"Patient presents again with sore throat, diagnosed as acute viral pharyngitis. Throat culture performed, no antibiotics prescribed.",1996-12-16,Darell496,2024-03-09,2024-03-09,14,ambulatory,185345009,Encounter for symptom (procedure),85.55,3536.75,0.0,195662009.0,Acute viral pharyngitis (disorder),27,BodyTemp 37.5 Cel,Acute viral pharyngitis,,Throat culture
836,810,General examination including medication reconciliation and substance use assessment. Patient is full-time employed. Ibuprofen 400mg continued.,1996-12-16,Darell496,2024-04-01,2024-04-01,14,wellness,162673000,General examination of patient (procedure),136.8,1567.0,0.0,,,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"
837,837,"Well child visit performed at age 16, focusing on screening for risk behaviors.",1975-09-07,Hwa978,1991-10-20,1991-10-20,15,wellness,410620009,Well child visit (procedure),136.8,778.78,0.0,,,16,,Risk behaviors,,
838,838,Routine check-up at age 18. Patient reports HS education completed but currently unemployed.,1975-09-07,Hwa978,1993-10-03,1993-10-03,15,outpatient,185349003,Encounter for check up (procedure),85.55,652.95,0.0,,,18,,"HS education, Unemployed",,
839,839,General examination at age 22 reveals obesity with BMI>30; counseling on weight management advised.,1975-09-07,Hwa978,1997-11-09,1997-11-09,15,wellness,162673000,General examination of patient (procedure),136.8,1050.78,0.0,,,22,,Obesity BMI>30,,
840,840,Check-up at age 25 notes hypertension diagnosis; monitoring and lifestyle advice provided.,1975-09-07,Hwa978,2000-10-01,2000-10-01,15,outpatient,185349003,Encounter for check up (procedure),85.55,652.95,0.0,,,25,,HTN,,
841,841,Encounter for problem at 31 with Vitamin B12 injection administered; further evaluation recommended.,1975-09-07,Hwa978,2007-04-01,2007-04-01,15,ambulatory,185347001,Encounter for problem (procedure),85.55,1067.79,1067.79,271737000.0,Anemia (disorder),31,,,Vit B12 5mg/ml inj soln,
842,842,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,305408004,Admission to surgical department (procedure),146.18,10000.45,10000.45,183996000.0,Sterilization requested (situation),35,,H/o tubal,,
843,843,General exam at 39 years; patient on Amlodipine 2.5mg for HTN. Medication review due. Patient reports limited social contact.,1975-09-07,Hwa978,2014-12-28,2014-12-28,15,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,39,,"Med review due, Limited social contact",Amlodipine 2.5mg tab,
844,844,Comprehensive mental health and social needs assessment performed at age 40; ongoing Amlodipine medication.,1975-09-07,Hwa978,2016-01-03,2016-01-03,15,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,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",,Amlodipine 2.5mg tab,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
845,845,"Presented with acute bronchitis at 40, CXR conducted, treated with APAP/DM/Doxylamine solution.",1975-09-07,Hwa978,2016-02-05,2016-02-05,15,ambulatory,185345009,Encounter for symptom (procedure),85.55,3368.75,2348.62,10509002.0,Acute bronchitis (disorder),40,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,CXR
846,846,"Follow-up visit at 40 included medication reconciliation, multiple mental health screens; patient reports stress.",1975-09-07,Hwa978,2016-02-14,2016-02-14,15,outpatient,185349003,Encounter for check up (procedure),85.55,868.37,694.7,,,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"
847,847,Exam at 41 with repeated mental health assessments; medication review pending.,1975-09-07,Hwa978,2017-01-08,2017-01-08,15,wellness,162673000,General examination of patient (procedure),136.8,976.2,0.0,,,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"
848,848,"At 42, severe anxiety noted during repeated mental health screening; patient continues Amlodipine.",1975-09-07,Hwa978,2018-01-14,2018-01-14,15,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,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"
849,849,General exam at 43 includes medication reconciliation and mental health assessments.,1975-09-07,Hwa978,2019-01-20,2019-01-20,15,wellness,162673000,General examination of patient (procedure),136.8,1384.17,0.0,,,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",,Amlodipine 2.5mg tab,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
850,850,"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,Hwa978,2020-01-26,2020-01-26,15,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,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"
851,851,"Dental check-up and treatment performed at 44, including scaling and fluoride application.",1975-09-07,Hwa978,2020-02-09,2020-02-09,15,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2331.04,66383009.0,Gingivitis (disorder),44,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
852,852,"At 44, patient presented with acute viral pharyngitis; throat culture performed for diagnosis.",1975-09-07,Hwa978,2020-04-10,2020-04-10,15,ambulatory,185345009,Encounter for symptom (procedure),85.55,1302.98,1042.38,195662009.0,Acute viral pharyngitis (disorder),44,BodyTemp 37.9 Cel,Acute viral pharyngitis,,Throat culture
853,853,General exam at 45 with mental health assessments; patient not in workforce and reports stress.,1975-09-07,Hwa978,2021-01-31,2021-01-31,15,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,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"
854,854,Vaccination administered at age 45 to produce active immunity.,1975-09-07,Hwa978,2021-03-21,2021-03-21,15,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,45,,,,
855,855,Second vaccination dose administered at 45.,1975-09-07,Hwa978,2021-04-11,2021-04-11,15,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,45,,,,
856,856,"At 46, patient is full-time employed, reports environmental violence exposure and gingivitis; dental referral made.",1975-09-07,Hwa978,2022-02-06,2022-02-06,15,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,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"
857,857,Dental consultation and treatment including scaling and fluoride applied at 46.,1975-09-07,Hwa978,2022-02-20,2022-02-20,15,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,1986.29,66383009.0,Gingivitis (disorder),46,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
858,858,Presented at 46 with acute bronchitis; sputum exam done and treated with APAP 325mg.,1975-09-07,Hwa978,2022-04-14,2022-04-14,15,ambulatory,185345009,Encounter for symptom (procedure),85.55,2715.8,2172.64,10509002.0,Acute bronchitis (disorder),46,,Acute bronchitis,APAP 325mg tab,Sputum exam
859,859,"At 47, medication review and comprehensive mental health and dental assessments; patient reports intimate partner violence (IPV).",1975-09-07,Hwa978,2023-02-12,2023-02-12,15,wellness,162673000,General examination of patient (procedure),136.8,1567.0,88.03,,,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"
860,860,Routine dental care continued at 47.,1975-09-07,Hwa978,2023-02-26,2023-02-26,15,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),47,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
861,861,"At 47, patient presented with viral sinusitis; symptom management provided.",1975-09-07,Hwa978,2023-07-12,2023-07-12,15,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),47,,Viral sinusitis,,
862,862,Encounter at 48 for rotator cuff injury; treatment plan initiated.,1975-09-07,Hwa978,2024-01-25,2024-01-25,15,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,307731004.0,Injury of tendon of the rotator cuff of shoulder (disorder),48,,Rotator cuff injury,,
863,863,General exam at 48 with medication review due; patient reports social isolation.,1975-09-07,Hwa978,2024-02-18,2024-02-18,15,wellness,162673000,General examination of patient (procedure),136.8,1716.16,275.7,,,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"
864,864,Routine check-up at 48 with no additional findings.,1975-09-07,Hwa978,2024-04-23,2024-04-23,15,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,68.44,307731004.0,Injury of tendon of the rotator cuff of shoulder (disorder),48,,,,
865,865,"At 49, patient partially employed and reports stress and gingivitis; medication review pending; dental referral made.",1975-09-07,Hwa978,2025-02-23,2025-02-23,15,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,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"
866,866,"Dental consultation and treatment provided at 49, including scaling and bitewing x-rays.",1975-09-07,Hwa978,2025-03-09,2025-03-09,15,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),49,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
867,867,"Patient presented for a routine well child visit at age 13. No procedures, medications, or conditions noted.",1993-01-06,Daniella68,2006-02-01,2006-02-01,16,wellness,410620009,Well child visit (procedure),136.8,1055.9,0.0,,,13,,,,
868,868,"At age 17, patient attended a well child visit. Medication review was due, and risk behaviors were identified for monitoring.",1993-01-06,Daniella68,2010-02-24,2010-02-24,16,wellness,410620009,Well child visit (procedure),136.8,704.2,704.2,,,17,,"Med review due, Risk behaviors",,
869,869,"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,Daniella68,2011-03-02,2011-03-02,16,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,"Poor housing, Higher ed, Full-time employed",,
870,870,ED admission for knee injury diagnosed as ACL injury. Patient treated with Ibuprofen 200mg tablets for pain management.,1993-01-06,Daniella68,2014-12-21,2014-12-21,16,emergency,50849002,Emergency room admission (procedure),146.18,577.58,527.58,125601008.0,Injury of knee (disorder),21,,"Knee injury, ACL injury",Ibuprofen 200mg tab,
871,871,Consultation visit where Trinessa 28d pack contraceptive was initiated.,1993-01-06,Daniella68,2015-01-31,2015-01-31,16,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),22,,,Trinessa 28d pack,
872,872,General exam revealed social isolation and patient reported increased stress.,1993-01-06,Daniella68,2015-03-11,2015-03-11,16,wellness,162673000,General examination of patient (procedure),136.8,1186.78,0.0,,,22,,"Social isolation, Stress",,
873,873,Patient presented with sore throat; throat culture performed confirming acute viral pharyngitis.,1993-01-06,Daniella68,2015-08-13,2015-08-13,16,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,0.0,195662009.0,Acute viral pharyngitis (disorder),22,BodyTemp 37.0 Cel,Acute viral pharyngitis,,Throat culture
874,874,Encounter for symptoms consistent with viral sinusitis; supportive care recommended.,1993-01-06,Daniella68,2016-03-19,2016-03-19,16,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),23,,Viral sinusitis,,
875,875,"Comprehensive assessment including medication reconciliation, mental health screenings, substance use evaluation, and dental referral due to gingivitis.",1993-01-06,Daniella68,2018-03-14,2018-03-14,16,wellness,162673000,General examination of patient (procedure),136.8,922.62,0.0,,,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,,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
876,876,"Dental check-up performed, addressing loose filling with cleanings and bitewing imaging; oral health education provided.",1993-01-06,Daniella68,2018-03-28,2018-03-28,16,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,66383009.0,Gingivitis (disorder),25,,Loose filling,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed"
877,877,Initial prenatal visit with comprehensive testing confirming normal pregnancy.,1993-01-06,Daniella68,2018-06-06,2018-06-06,16,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,38682.92,0.0,72892002.0,Normal pregnancy (finding),25,,Normal preg,,"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"
878,878,Routine prenatal visit including fetal monitoring and amniocentesis for chromosomal abnormalities.,1993-01-06,Daniella68,2018-07-04,2018-07-04,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,14552.09,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
879,879,Detailed fetal anatomy ultrasound and screening tests performed; normal findings.,1993-01-06,Daniella68,2018-08-01,2018-08-01,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,5960.16,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
880,880,Continued routine prenatal monitoring with fundal height and fetal heart auscultation.,1993-01-06,Daniella68,2018-08-29,2018-08-29,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,18236.08,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Fundal height eval, Fetal heart auscult"
881,881,Routine prenatal visit; no complications noted.,1993-01-06,Daniella68,2018-09-26,2018-09-26,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11451.02,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Fundal height eval, Fetal heart auscult"
882,882,Blood work and vaccinations administered during prenatal care; fetal monitoring continued.,1993-01-06,Daniella68,2018-10-24,2018-10-24,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,12304.49,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
883,883,Routine prenatal evaluation showing stable pregnancy.,1993-01-06,Daniella68,2018-11-21,2018-11-21,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,5096.43,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Fundal height eval, Fetal heart auscult"
884,884,Prenatal visit identified eclampsia; Group B Strep screening done; close monitoring recommended.,1993-01-06,Daniella68,2018-12-19,2018-12-19,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,5914.77,0.0,72892002.0,Normal pregnancy (finding),25,,Eclampsia,,"GBS Ag, Fundal height eval, Fetal heart auscult"
885,885,Emergency admission for delivery with epidural anesthesia; no complications reported.,1993-01-06,Daniella68,2019-01-02,2019-01-02,16,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,2153.46,0.0,72892002.0,Normal pregnancy (finding),25,,,,"Epidural, Delivery"
886,886,Postnatal checkup performed including physical exam and depression screening.,1993-01-06,Daniella68,2019-02-13,2019-02-13,16,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,855.38,,,26,,,,"PE, Depression screen"
887,887,New prenatal pregnancy confirmed with ultrasound showing normal viability.,1993-01-06,Daniella68,2020-02-12,2020-02-12,16,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,6453.97,0.0,72892002.0,Normal pregnancy (finding),27,,Normal preg,,"Preg test, Fetal viability US"
888,889,Patient initiated termination of pregnancy counseling followed by termination procedure.,1993-01-06,Daniella68,2020-02-25,2020-02-25,16,ambulatory,270427003,Patient-initiated encounter (procedure),85.55,4444.98,0.0,72892002.0,Normal pregnancy (finding),27,,,,"TOP counseling, TOP"
889,890,Follow-up care after termination including physical exam and depression screening.,1993-01-06,Daniella68,2020-03-10,2020-03-10,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1443.68,0.0,72892002.0,Normal pregnancy (finding),27,,,,"TOP care, PE, Depression screen"
890,893,ER visit for ankle sprain treated with acetaminophen; COVID-19 ruled out.,1993-01-06,Daniella68,2020-12-15,2020-12-15,16,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,384709000.0,Sprain (morphologic abnormality),27,,"Sprain, Ankle sprain, R/O COVID",APAP 325mg tab,
891,894,Symptoms consistent with COVID-19; patient advised mask use and testing.,1993-01-06,Daniella68,2021-01-11,2021-01-11,16,ambulatory,185345009,Encounter for symptom (procedure),85.55,235.57,0.0,840544004.0,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",,Face mask
892,896,,1993-01-06,Daniella68,2021-01-11,2021-01-23,16,inpatient,1505002,Hospital admission for isolation (procedure),146.18,28970.19,0.0,840539006.0,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"
893,914,General exam showed hypertension under treatment with Amlodipine; patient reports ongoing stress and medication review was conducted.,1993-01-06,Daniella68,2021-03-17,2021-03-17,16,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,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"
894,915,Follow-up visit with Lisinopril 10mg initiated for blood pressure management.,1993-01-06,Daniella68,2021-04-16,2021-04-16,16,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),28,"DBP 113.0 mm[Hg], SBP 145.0 mm[Hg]",,Lisinopril 10mg tab,
895,916,Routine follow-up visit with no new medications or procedures.,1993-01-06,Daniella68,2021-06-15,2021-06-15,16,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),28,"DBP 104.0 mm[Hg], SBP 118.0 mm[Hg]",,,
896,917,Continued monitoring without interventions or medication changes.,1993-01-06,Daniella68,2021-08-14,2021-08-14,16,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,59621000.0,Essential hypertension (disorder),28,"DBP 104.0 mm[Hg], SBP 124.0 mm[Hg]",,,
897,918,Comprehensive initial prenatal evaluation showed normal pregnancy progression.,1993-01-06,Daniella68,2021-09-15,2021-09-15,16,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,51048.6,0.0,72892002.0,Normal pregnancy (finding),28,,Normal preg,,"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"
898,919,Routine prenatal surveillance including fetal monitoring and chromosomal testing.,1993-01-06,Daniella68,2021-10-13,2021-10-13,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,14450.56,0.0,72892002.0,Normal pregnancy (finding),28,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
899,920,Fetal anatomy and biochemical screening normal.,1993-01-06,Daniella68,2021-11-10,2021-11-10,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8690.23,0.0,72892002.0,Normal pregnancy (finding),28,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
900,921,Standard fetal growth and wellbeing assessments continued.,1993-01-06,Daniella68,2021-12-08,2021-12-08,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4665.96,0.0,72892002.0,Normal pregnancy (finding),28,,,,"Fundal height eval, Fetal heart auscult"
901,922,No complications noted at this prenatal visit.,1993-01-06,Daniella68,2022-01-05,2022-01-05,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,7993.33,0.0,72892002.0,Normal pregnancy (finding),28,,,,"Fundal height eval, Fetal heart auscult"
902,925,Routine prenatal lab work including DTaP vaccine administered and fetal assessment done.,1993-01-06,Daniella68,2022-02-02,2022-02-02,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,16957.34,16807.34,72892002.0,Normal pregnancy (finding),29,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
903,944,Ongoing prenatal fetal monitoring at 29 years of age.,1993-01-06,Daniella68,2022-03-02,2022-03-02,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6467.4,6417.4,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
904,946,General exam revealed patient is not in workforce; medication regimen includes antihypertensives; mental health and dental health assessments performed.,1993-01-06,Daniella68,2022-03-23,2022-03-23,16,wellness,162673000,General examination of patient (procedure),136.8,919.9,919.9,,,29,"Height 161.7 cm, PainScore 3.0 {score}, Weight 72.3 kg, BMI 27.6 kg/m2, DBP 103.0 mm[Hg], SBP 121.0 mm[Hg], HR 97.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan",Not in workforce,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Dental referral"
905,956,Follow-up prenatal visit with Group B Strep screening; patient diagnosed with eclampsia requiring close observation.,1993-01-06,Daniella68,2022-03-30,2022-03-30,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11052.54,11002.54,72892002.0,Normal pregnancy (finding),29,,Eclampsia,,"GBS Ag, Fundal height eval, Fetal heart auscult"
906,957,Dental examination and treatment for caries performed including restorative work and fluoride application.,1993-01-06,Daniella68,2022-04-06,2022-04-06,16,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3918.15,103697008.0,Patient referral for dental care (procedure),29,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
907,958,Continued routine prenatal monitoring.,1993-01-06,Daniella68,2022-04-13,2022-04-13,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11451.02,11401.02,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
908,959,No new issues noted; fetal health stable.,1993-01-06,Daniella68,2022-04-20,2022-04-20,16,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11451.02,11401.02,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
909,961," ""Hospital admission for delivery completed without reported complications.""",1993-01-06,Daniella68,2022-04-27,2022-04-27,16,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,577.58,527.58,72892002.0,Normal pregnancy (finding),29,,,,Delivery
910,962,Postpartum physical exam and mental health screening conducted.,1993-01-06,Daniella68,2022-06-08,2022-06-08,16,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,955.38,,,29,,,,"PE, Depression screen"
911,963,Intramuscular injection of MPA 150mg/ml administered during consultation.,1993-01-06,Daniella68,2022-06-15,2022-06-15,16,outpatient,698314001,Consultation for treatment (procedure),142.58,4575.68,4525.68,389095005.0,Contraception care (regime/therapy),29,,,1ml MPA 150mg/ml inj,IM inj
912,964," ""Received intramuscular injection as part of treatment plan.""",1993-01-06,Daniella68,2022-09-21,2022-09-21,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,4575.68,4525.68,389095005.0,Contraception care (regime/therapy),29,,,,IM inj
913,965," ""Additional intramuscular injection administered.""",1993-01-06,Daniella68,2022-12-21,2022-12-21,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,4575.68,4525.68,389095005.0,Contraception care (regime/therapy),29,,,,IM inj
914,966," ""Follow-up intramuscular injection given.""",1993-01-06,Daniella68,2023-03-22,2023-03-22,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),30,,,,IM inj
915,968,"Comprehensive examination including screening for mental health, substance use, and domestic abuse; medication review conducted; patient employed full-time.",1993-01-06,Daniella68,2023-04-05,2023-04-05,16,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,30,"Height 161.7 cm, PainScore 2.0 {score}, Weight 74.1 kg, BMI 28.3 kg/m2, DBP 104.0 mm[Hg], SBP 115.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, TotalCholesterol 176.5 mg/dL, HDL 52.2 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
916,971," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2023-06-21,2023-06-21,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),30,,,,IM inj
917,972," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2023-09-20,2023-09-20,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),30,,,,IM inj
918,973," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2023-12-20,2023-12-20,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),30,,,,IM inj
919,974," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2024-03-20,2024-03-20,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),31,,,,IM inj
920,975,Patient assessed for health/social needs and mental health; reports part-time employment and ongoing stress.,1993-01-06,Daniella68,2024-04-10,2024-04-10,16,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,31,"Height 161.7 cm, PainScore 1.0 {score}, Weight 75.9 kg, BMI 29.0 kg/m2, DBP 106.0 mm[Hg], SBP 116.0 mm[Hg], HR 70.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Part-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
921,976," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2024-06-19,2024-06-19,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,1250.85,0.0,389095005.0,Contraception care (regime/therapy),31,,,,IM inj
922,977," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2024-09-18,2024-09-18,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,3241.44,0.0,389095005.0,Contraception care (regime/therapy),31,,,,IM inj
923,978," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2024-12-18,2024-12-18,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,3971.42,0.0,389095005.0,Contraception care (regime/therapy),31,,,,IM inj
924,979," ""Intramuscular injection administered.""",1993-01-06,Daniella68,2025-03-19,2025-03-19,16,outpatient,308335008,Patient encounter procedure (procedure),142.58,2601.69,0.0,389095005.0,Contraception care (regime/therapy),32,,,,IM inj
925,888,Well child visit conducted at age 3 including medication reconciliation. Medications reviewed to ensure accuracy. Medical review noted as pending.,2016-04-06,Cassondra930,2016-04-07,2016-04-07,17,wellness,410620009,Well child visit (procedure),136.8,872.15,772.15,,,3,"Height 52.6 cm, PainScore 3.0 {score}, Weight 3.7 kg, WtForLength 8.4 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 35.5 cm, DBP 80.0 mm[Hg], SBP 133.0 mm[Hg], HR 85.0 /min, RR 15.0 /min, AutoWBCCount 9.2 10*3/uL, AutoRBCCount 4.3 10*6/uL, BloodHgb 13.3 g/dL, AutoHct 43.7 %, AutoMCV 86.8 fL, MCH 27.7 pg, MCHC 35.2 g/dL, RDWv 45.2 fL, PlateletCount 238.0 10*3/uL, PDW 256.0 fL, MPV 10.3 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
926,891,Routine well child visit at age 3. No procedures or medications recorded. Medical review marked as due.,2016-04-06,Cassondra930,2016-05-12,2016-05-12,17,wellness,410620009,Well child visit (procedure),136.8,272.8,272.8,,,3,"Height 56.2 cm, PainScore 4.0 {score}, Weight 4.4 kg, WtForLength 8.8 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 38.7 cm, DBP 80.0 mm[Hg], SBP 130.0 mm[Hg], HR 64.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
927,892,Well child visit at age 3 completed. No additional notes or medications recorded.,2016-04-06,Cassondra930,2016-07-14,2016-07-14,17,wellness,410620009,Well child visit (procedure),136.8,816.8,816.8,,,3,"Height 61.4 cm, PainScore 2.0 {score}, Weight 5.7 kg, WtForLength 15.9 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 41.1 cm, DBP 76.0 mm[Hg], SBP 129.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
928,895,Routine well child visit at age 3 with no procedures or medications noted.,2016-04-06,Cassondra930,2016-09-15,2016-09-15,17,wellness,410620009,Well child visit (procedure),136.8,816.8,816.8,,,3,"Height 65.4 cm, PainScore 2.0 {score}, Weight 6.8 kg, WtForLength 25.3 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 42.7 cm, DBP 78.0 mm[Hg], SBP 134.0 mm[Hg], HR 86.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
929,897," ""Well child visit with medication reconciliation performed at age 3. No medications or conditions noted.""",2016-04-06,Cassondra930,2016-12-15,2016-12-15,17,wellness,410620009,Well child visit (procedure),136.8,1032.5,1032.5,,,3,"Height 70.2 cm, PainScore 2.0 {score}, Weight 8.1 kg, WtForLength 33.0 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 44.3 cm, DBP 75.0 mm[Hg], SBP 129.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
930,898,Well child visit with medication reconciliation at age 3. Medical review noted as due.,2016-04-06,Cassondra930,2017-03-16,2017-03-16,17,wellness,410620009,Well child visit (procedure),136.8,832.29,832.29,,,3,"Height 74.3 cm, PainScore 4.0 {score}, Weight 9.1 kg, WtForLength 37.8 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 45.5 cm, DBP 77.0 mm[Hg], SBP 128.0 mm[Hg], HR 94.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
931,899,Routine well child visit. Medical review remains pending.,2016-04-06,Cassondra930,2017-06-15,2017-06-15,17,wellness,410620009,Well child visit (procedure),136.8,816.8,716.8,,,3,"Height 77.8 cm, PainScore 1.0 {score}, Weight 10.0 kg, WtForLength 38.2 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 46.3 cm, DBP 80.0 mm[Hg], SBP 141.0 mm[Hg], HR 76.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
932,900," ""Well child visit at 3 years with medication reconciliation performed.""",2016-04-06,Cassondra930,2017-09-14,2017-09-14,17,wellness,410620009,Well child visit (procedure),136.8,1135.6,1135.6,,,3,"Height 81.0 cm, PainScore 2.0 {score}, Weight 10.6 kg, WtForLength 35.7 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 47.0 cm, DBP 75.0 mm[Hg], SBP 135.0 mm[Hg], HR 91.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
933,901,Symptomatic encounter at age 3 for otitis media. Prescribed Cefuroxime 250mg and Ibuprofen 100mg for management.,2016-04-06,Cassondra930,2018-01-27,2018-01-27,17,outpatient,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,65363002.0,Otitis media (disorder),3,,OM,"Cefuroxime 250mg tab, Ibuprofen 100mg tab",
934,902,Well child visit with medication reconciliation completed. Medical review remains due.,2016-04-06,Cassondra930,2018-03-15,2018-03-15,17,wellness,410620009,Well child visit (procedure),136.8,488.5,488.5,,,3,"Height 86.7 cm, PainScore 4.0 {score}, Weight 11.7 kg, WtForLength 27.8 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 48.0 cm, DBP 76.0 mm[Hg], SBP 129.0 mm[Hg], HR 87.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
935,903,Check-up visit with medication reconciliation performed. Continuing medical review pending.,2016-04-06,Cassondra930,2018-08-02,2018-08-02,17,outpatient,185349003,Encounter for check up (procedure),85.55,560.27,410.27,,,3,"Height 89.4 cm, PainScore 3.0 {score}, Weight 12.3 kg, WtForLength 34.3 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 48.6 cm, BMI 15.4 kg/m2, BMIPercentile 26.0 %, DBP 87.0 mm[Hg], SBP 130.0 mm[Hg], HR 70.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
936,904,Symptomatic visit for acute bronchitis at age 3. Treated with APAP 325mg for symptomatic relief.,2016-04-06,Cassondra930,2018-08-09,2018-08-09,17,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,10509002.0,Acute bronchitis (disorder),3,,Acute bronchitis,APAP 325mg tab,
937,905,Routine well child visit at age 3 with a medical review due.,2016-04-06,Cassondra930,2018-09-13,2018-09-13,17,wellness,410620009,Well child visit (procedure),136.8,136.8,136.8,,,3,"Height 91.0 cm, PainScore 3.0 {score}, Weight 12.5 kg, WtForLength 25.5 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 48.8 cm, BMI 15.1 kg/m2, BMIPercentile 22.3 %, DBP 79.0 mm[Hg], SBP 148.0 mm[Hg], HR 62.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
938,906,Well child visit including medication reconciliation and dental referral for further oral health follow-up.,2016-04-06,Cassondra930,2019-03-14,2019-03-14,17,wellness,410620009,Well child visit (procedure),136.8,1071.87,1071.87,,,3,"Height 95.2 cm, PainScore 0.0 {score}, Weight 13.3 kg, WtForLength 22.7 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 49.3 cm, BMI 14.7 kg/m2, BMIPercentile 17.3 %, DBP 77.0 mm[Hg], SBP 135.0 mm[Hg], HR 62.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Dental referral"
939,907,"Comprehensive dental check-up at age 3 including dental consult, scaling, bitewing x-rays, gingival examination, and oral health education.",2016-04-06,Cassondra930,2019-03-21,2019-03-21,17,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,103697008.0,Patient referral for dental care (procedure),3,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
940,908,Well child visit with medication reconciliation performed. Medical review remains due.,2016-04-06,Cassondra930,2019-09-12,2019-09-12,17,wellness,410620009,Well child visit (procedure),136.8,414.94,314.94,,,3,"Height 98.7 cm, PainScore 2.0 {score}, Weight 13.9 kg, WtForLength 18.9 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 49.3 cm, BMI 14.3 kg/m2, BMIPercentile 11.9 %, DBP 81.0 mm[Hg], SBP 139.0 mm[Hg], HR 78.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
941,909,Symptomatic visit for otitis media treated with Cefuroxime 250mg and APAP 160mg chewable tablets.,2016-04-06,Cassondra930,2020-03-04,2020-03-04,17,outpatient,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,65363002.0,Otitis media (disorder),3,,OM,"Cefuroxime 250mg tab, APAP 160mg chew tab",
942,910,Well child visit with dental referral issued. Medical review still due.,2016-04-06,Cassondra930,2020-03-12,2020-03-12,17,wellness,410620009,Well child visit (procedure),136.8,704.2,704.2,,,3,"Height 102.1 cm, PainScore 4.0 {score}, Weight 15.0 kg, WtForLength 18.9 %, HeadCircumferencePercentile 67.8 %, HeadCircumference 49.3 cm, BMI 14.4 kg/m2, BMIPercentile 19.2 %, DBP 75.0 mm[Hg], SBP 145.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Dental referral
943,911,"Dental check-up with multiple procedures including scaling, bitewing radiographs, gingival examination, and oral health education.",2016-04-06,Cassondra930,2020-03-19,2020-03-19,17,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,103697008.0,Patient referral for dental care (procedure),3,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
944,912,Encounter for strep throat at age 4 confirmed by throat culture. Treated with Penicillin VK 250mg.,2016-04-06,Cassondra930,2020-10-14,2020-10-14,17,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,855.42,43878008.0,Streptococcal sore throat (disorder),4,BodyTemp 38.8 Cel,Strep throat,PCN VK 250mg tab,Throat culture
945,913," ""Routine well child visit at age 4 including medication reconciliation.""",2016-04-06,Cassondra930,2021-03-18,2021-03-18,17,wellness,410620009,Well child visit (procedure),136.8,1032.5,1032.5,,,4,"Height 109.2 cm, PainScore 4.0 {score}, Weight 17.0 kg, BMI 14.3 kg/m2, BMIPercentile 21.8 %, DBP 79.0 mm[Hg], SBP 132.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
946,923,Well child visit with medication reconciliation performed at age 5. Medical review pending.,2016-04-06,Cassondra930,2022-03-24,2022-03-24,17,wellness,410620009,Well child visit (procedure),136.8,1003.25,903.25,,,5,"Height 116.4 cm, PainScore 3.0 {score}, Weight 19.8 kg, BMI 14.6 kg/m2, BMIPercentile 31.2 %, DBP 77.0 mm[Hg], SBP 146.0 mm[Hg], HR 92.0 /min, RR 14.0 /min, AutoWBCCount 8.1 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 13.7 g/dL, AutoHct 44.2 %, AutoMCV 87.9 fL, MCH 32.4 pg, MCHC 35.1 g/dL, RDWv 40.8 fL, PlateletCount 257.3 10*3/uL, PDW 265.3 fL, MPV 9.7 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
947,924,Symptomatic visit for acute viral pharyngitis at age 6 with throat culture performed. No medication recorded.,2016-04-06,Cassondra930,2022-12-13,2022-12-13,17,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,798.35,195662009.0,Acute viral pharyngitis (disorder),6,BodyTemp 37.1 Cel,Acute viral pharyngitis,,Throat culture
948,926,Check-up visit at age 6 with medical review noted as pending.,2016-04-06,Cassondra930,2022-12-22,2022-12-22,17,outpatient,185349003,Encounter for check up (procedure),85.55,221.55,171.55,,,6,"Height 121.7 cm, PainScore 1.0 {score}, Weight 22.6 kg, BMI 15.3 kg/m2, BMIPercentile 47.1 %, DBP 79.0 mm[Hg], SBP 131.0 mm[Hg], HR 91.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
949,927," ""Well child visit at age 6 with medication reconciliation conducted.""",2016-04-06,Cassondra930,2023-03-30,2023-03-30,17,wellness,410620009,Well child visit (procedure),136.8,674.04,674.04,,,6,"Height 123.4 cm, PainScore 1.0 {score}, Weight 23.6 kg, BMI 15.5 kg/m2, BMIPercentile 51.4 %, DBP 80.0 mm[Hg], SBP 136.0 mm[Hg], HR 83.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
950,941,Symptomatic encounter for strep throat at age 7 treated with Penicillin VK 250mg.,2016-04-06,Cassondra930,2024-03-18,2024-03-18,17,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,43878008.0,Streptococcal sore throat (disorder),7,BodyTemp 37.4 Cel,Strep throat,PCN VK 250mg tab,
951,955,Check-up visit at age 7 with medical review still due.,2016-04-06,Cassondra930,2024-03-28,2024-03-28,17,outpatient,185349003,Encounter for check up (procedure),85.55,221.55,132.92,,,7,"Height 129.6 cm, PainScore 3.0 {score}, Weight 27.4 kg, BMI 16.3 kg/m2, BMIPercentile 60.0 %, DBP 82.0 mm[Hg], SBP 138.0 mm[Hg], HR 72.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
952,960," ""Well child visit at age 7 including medication reconciliation.""",2016-04-06,Cassondra930,2024-04-04,2024-04-04,17,wellness,410620009,Well child visit (procedure),136.8,529.81,529.81,,,7,"Height 129.6 cm, PainScore 3.0 {score}, Weight 27.4 kg, BMI 16.3 kg/m2, BMIPercentile 60.0 %, DBP 81.0 mm[Hg], SBP 129.0 mm[Hg], HR 99.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
953,928,16-year-old patient seen for a well child visit. No procedures or medications recorded. Patient reports risk behaviors; further counseling recommended.,1935-04-18,Alvin56,1951-05-31,1951-05-31,18,wellness,410620009,Well child visit (procedure),136.8,1641.58,1491.58,,,16,,Risk behaviors,,
954,929,18-year-old patient examined; history includes high school education and no transport access. No procedures or medications administered during this visit.,1935-04-18,Alvin56,1953-06-11,1953-06-11,18,wellness,162673000,General examination of patient (procedure),136.8,704.2,554.2,,,18,,"HS education, No transport",,
955,930,19-year-old patient evaluated with a history of hypertension and ongoing transport issues. No new medications or procedures documented.,1935-04-18,Alvin56,1954-06-17,1954-06-17,18,wellness,162673000,General examination of patient (procedure),136.8,704.2,554.2,,,19,,"HTN, Transport issues",,
956,931,25-year-old patient evaluated with a noted criminal record. Routine general examination with no medications or procedures.,1935-04-18,Alvin56,1960-07-21,1960-07-21,18,wellness,162673000,General examination of patient (procedure),136.8,1146.17,996.17,,,25,,Criminal record,,
957,932,39-year-old patient seen for general examination with prediabetes condition documented. Monitoring and lifestyle counseling advised.,1935-04-18,Alvin56,1974-10-10,1974-10-10,18,wellness,162673000,General examination of patient (procedure),136.8,923.8,809.35,,,39,,Prediabetes,,
958,933,"At 40 years, patient evaluated for anemia during general examination. No treatment changes noted.",1935-04-18,Alvin56,1975-10-16,1975-10-16,18,wellness,162673000,General examination of patient (procedure),136.8,778.78,628.78,,,40,,Anemia,,
959,934,55-year-old patient admitted to hospital emergently for chronic pain management. No procedures or medication changes recorded at admission.,1935-04-18,Alvin56,1990-10-01,1990-10-01,18,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,0.0,82423001.0,Chronic pain (finding),55,,Chronic pain,,
960,935,Emergency treatment provided for chronic migraine at age 55. Pain management plan ongoing.,1935-04-18,Alvin56,1990-12-07,1990-12-07,18,emergency,182813001,Emergency treatment (procedure),146.18,146.18,33.89,124171000119105.0,Chronic intractable migraine without aura (disorder),55,,Chronic migraine,,
961,936,Emergency treatment for impacted molars performed. Dental referral advised post-discharge.,1935-04-18,Alvin56,1991-03-09,1991-03-09,18,emergency,182813001,Emergency treatment (procedure),146.18,5308.14,5258.14,196416002.0,Impacted molars (disorder),55,,Impacted molars,,
962,937,57-year-old patient assessed for hand osteoarthritis during problem-focused encounter. Symptom management to continue.,1935-04-18,Alvin56,1992-09-27,1992-09-27,18,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,35.55,201834006.0,Localized  primary osteoarthritis of the hand (disorder),57,,Hand OA,,
963,938,Check up at age 60 with diagnosis of osteoporosis noted. Bone health monitoring advised.,1935-04-18,Alvin56,1995-06-29,1995-06-29,18,outpatient,185349003,Encounter for check up (procedure),85.55,6286.82,6236.82,,,60,,Osteoporosis,,
964,939,Patient at 61 years evaluated for drug dependency. Referral to substance use counseling and treatment considered.,1935-04-18,Alvin56,1997-02-22,1997-02-22,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,466.95,6525002.0,Dependent drug abuse (disorder),61,,Drug dependency,,
965,940,"66-year-old patient with ischemic heart disease under general examination. Medications include clopidogrel, simvastatin, metoprolol ER, and nitroglycerin spray. Cardiovascular status stable.",1935-04-18,Alvin56,2002-03-28,2002-03-28,18,wellness,162673000,General examination of patient (procedure),136.8,1279.64,1244.64,,,66,,IHD,"Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray",
966,942,Abnormal cardiac imaging identified at age 66. Follow-up with cardiology recommended.,1935-04-18,Alvin56,2002-04-06,2002-04-06,18,ambulatory,185347001,Encounter for problem (procedure),85.55,1444.46,1409.46,414545008.0,Ischemic heart disease (disorder),66,,Abn cardiac img,,
967,943,Hospital admission recorded at 66 years for patient with history of coronary artery bypass grafting. Post-operative follow-up and ongoing management planned.,1935-04-18,Alvin56,2002-04-08,2002-04-09,18,inpatient,32485007,Hospital admission (procedure),146.18,38920.54,38885.54,274531002.0,Abnormal findings diagnostic imaging heart+coronary circulat (finding),66,,H/o CABG,,
968,945,"69-year-old emergency room admission; details unspecified, further evaluation needed.",1935-04-18,Alvin56,2004-07-04,2004-07-05,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,55680006.0,Drug overdose,69,,,,
969,947,General examination at 69 revealing limited social contact. Social support services to be explored.,1935-04-18,Alvin56,2005-04-14,2005-04-14,18,wellness,162673000,General examination of patient (procedure),136.8,1075.86,1025.86,,,69,,Limited social contact,,
970,948,Patient at age 74 noted to experience social isolation during general exam. Referral to mental health or social services recommended.,1935-04-18,Alvin56,2009-05-07,2009-05-07,18,wellness,162673000,General examination of patient (procedure),136.8,1218.2,1218.2,,,74,,Social isolation,,
971,950,77-year-old patient examined showing symptoms of stress. Stress management interventions advised.,1935-04-18,Alvin56,2012-05-24,2012-05-24,18,wellness,162673000,General examination of patient (procedure),136.8,860.16,860.16,,,77,,Stress,,
972,952,78-year-old patient presenting with chronic low back pain and chronic neck pain. Pain management and physical therapy options to be considered.,1935-04-18,Alvin56,2014-02-01,2014-02-01,18,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,50.55,82423001.0,Chronic pain (finding),78,,"Chronic LBP, Chronic neck pain",,
973,953,Follow-up encounter at 78 with ongoing management of chronic pain conditions.,1935-04-18,Alvin56,2014-03-19,2014-03-19,18,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,50.55,82423001.0,Chronic pain (finding),78,,,,
974,954,"79-year-old full-time employed patient received general examination. Medications include pain relievers (codeine, oxycodone, acetaminophen combos), antihypertensives (lisinopril, amlodipine) and alendronate for bone health.",1935-04-18,Alvin56,2014-06-05,2014-06-05,18,wellness,162673000,General examination of patient (procedure),136.8,1722.96,1378.36,,,79,,Full-time employed,"APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab",
975,981,"80-year-old patient seen for med reconciliation, health and social needs assessment, and depression screening twice. Dental referral due to gingivitis. Current medications include opioid and non-opioid analgesics, antihypertensives, and bone density therapy.",1935-04-18,Alvin56,2015-06-11,2015-06-11,18,wellness,162673000,General examination of patient (procedure),136.8,1001.28,1001.28,,,80,"HbA1c 6.1 %, Height 177.9 cm, PainScore 3.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 82.0 mm[Hg], SBP 108.0 mm[Hg], HR 81.0 /min, RR 14.0 /min, BloodGlucose 73.6 mg/dL, BloodBUN 8.8 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 138.5 mmol/L, BloodK 4.2 mmol/L, BloodChloride 107.8 mmol/L, TotalCO2Blood 28.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis","APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Dental referral"
976,995,"80-year-old patient underwent thorough dental check including consult, cleaning, exam and oral health education.",1935-04-18,Alvin56,2015-06-25,2015-06-25,18,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2638.95,66383009.0,Gingivitis (disorder),80,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
977,998,Rehabilitation services assessed at 80 years of age to support recovery and functional improvement.,1935-04-18,Alvin56,2015-07-27,2015-07-27,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),80,,,,Rehab
978,999,Emergency room admission at age 80 for drug overdose; stabilized and referred for detoxification and rehabilitation.,1935-04-18,Alvin56,2015-11-18,2015-11-18,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,80,,Drug OD,,
979,1000,Undergoing drug rehabilitation and detoxification program at 80 years following overdose incidents.,1935-04-18,Alvin56,2015-12-09,2015-12-11,18,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,111.18,6525002.0,Dependent drug abuse (disorder),80,PainScore 7.0 {score},,,
980,1001,"Comprehensive checkup at 80 including medication review, assessments for anxiety, depression, and fall risk. Medications continued; med review indicated.",1935-04-18,Alvin56,2016-04-14,2016-04-14,18,outpatient,185349003,Encounter for check up (procedure),85.55,950.03,915.03,,,80,"HbA1c 5.9 %, Height 177.9 cm, PainScore 2.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 85.0 mm[Hg], SBP 102.0 mm[Hg], HR 74.0 /min, RR 16.0 /min, BloodGlucose 88.4 mg/dL, BloodBUN 14.8 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.1 mmol/L, BloodK 4.5 mmol/L, BloodChloride 110.1 mmol/L, TotalCO2Blood 20.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
981,1002,80-year-old patient presenting with acute bacterial sinusitis symptoms; treatment plan to address infection.,1935-04-18,Alvin56,2016-04-16,2016-04-16,18,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,75498004.0,Acute bacterial sinusitis (disorder),80,,Acute bact sinusitis,,
982,1003,"81-year-old patient evaluated with multiple screenings for domestic abuse, mental health, and social needs. Stress noted, medication review ongoing.",1935-04-18,Alvin56,2016-06-16,2016-06-16,18,wellness,162673000,General examination of patient (procedure),136.8,785.58,785.58,,,81,"HbA1c 6.1 %, Height 177.9 cm, PainScore 1.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 85.0 mm[Hg], SBP 118.0 mm[Hg], HR 63.0 /min, RR 14.0 /min, BloodGlucose 93.4 mg/dL, BloodBUN 7.8 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 138.3 mmol/L, BloodK 3.9 mmol/L, BloodChloride 101.9 mmol/L, TotalCO2Blood 25.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen"
983,1005,ER admission for drug overdose at 81 years; patient stabilized and referred for ongoing substance rehabilitation.,1935-04-18,Alvin56,2016-09-02,2016-09-02,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,81,,Drug OD,,
984,1007,Rehabilitation program continued for patient at age 81.,1935-04-18,Alvin56,2016-09-16,2016-09-16,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
985,1008,Ongoing rehabilitation services at 81 years.,1935-04-18,Alvin56,2016-10-16,2016-10-16,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
986,1009,Further rehabilitation sessions at 81 years.,1935-04-18,Alvin56,2016-11-15,2016-11-15,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
987,1010,Continued rehab therapy for patient at 81.,1935-04-18,Alvin56,2016-12-15,2016-12-15,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
988,1012,Patient engaged in rehab program at 81 to improve health outcomes.,1935-04-18,Alvin56,2017-01-14,2017-01-14,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
989,1015,Further rehab encounter at 81.,1935-04-18,Alvin56,2017-02-13,2017-02-14,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
990,1017,Ongoing rehabilitation support at 81.,1935-04-18,Alvin56,2017-03-16,2017-03-16,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
991,1021,Patient continues rehab care at 81.,1935-04-18,Alvin56,2017-04-15,2017-04-15,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),81,,,,Rehab
992,1023,"82-year-old patient assessed for health and social needs, anxiety, depression, and fall risk; intimate partner violence noted. Medication regimen includes analgesics and cardiovascular drugs.",1935-04-18,Alvin56,2017-06-22,2017-06-22,18,wellness,162673000,General examination of patient (procedure),136.8,934.74,934.74,,,82,"HbA1c 6.2 %, Height 177.9 cm, PainScore 3.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 83.0 mm[Hg], SBP 107.0 mm[Hg], HR 78.0 /min, RR 13.0 /min, BloodGlucose 73.4 mg/dL, BloodBUN 15.6 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 137.7 mmol/L, BloodK 4.2 mmol/L, BloodChloride 107.4 mmol/L, TotalCO2Blood 21.1 mmol/L, TotalCholesterol 188.2 mg/dL, HDL 29.7 mg/dL, AutoWBCCount 9.7 10*3/uL, AutoRBCCount 4.0 10*6/uL, BloodHgb 14.8 g/dL, AutoHct 37.4 %, AutoMCV 87.3 fL, MCH 32.7 pg, MCHC 33.2 g/dL, RDWv 42.4 fL, PlateletCount 436.7 10*3/uL, PDW 213.4 fL, MPV 11.0 fL, SmokingStatus Never smoked tobacco (finding) nan",IPV,"APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
993,1025,ER admission at 83 years due to drug overdose; patient treated and stabilized.,1935-04-18,Alvin56,2018-05-07,2018-05-07,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,83,,Drug OD,,
994,1026,"Comprehensive evaluation at 83 including screenings for depression, fall risk and stress management. Current medications continued.",1935-04-18,Alvin56,2018-06-28,2018-06-28,18,wellness,162673000,General examination of patient (procedure),136.8,785.58,785.58,,,83,"HbA1c 6.2 %, Height 177.9 cm, PainScore 0.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 89.0 mm[Hg], SBP 102.0 mm[Hg], HR 73.0 /min, RR 13.0 /min, BloodGlucose 70.3 mg/dL, BloodBUN 13.4 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 140.5 mmol/L, BloodK 4.2 mmol/L, BloodChloride 108.3 mmol/L, TotalCO2Blood 22.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Stress,"APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
995,1028,Rehabilitation care ongoing at 83 years.,1935-04-18,Alvin56,2018-12-31,2018-12-31,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),83,,,,Rehab
996,1029,Rehab sessions continued at 83.,1935-04-18,Alvin56,2019-01-30,2019-01-30,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),83,,,,Rehab
997,1030,"84-year-old patient underwent direct current cardioversion for atrial fibrillation and comprehensive assessments including depression and dental referrals. Alzheimer’s disease noted; medications include cardiovascular, anticoagulant, analgesics and dementia treatments.",1935-04-18,Alvin56,2019-07-04,2019-07-04,18,wellness,162673000,General examination of patient (procedure),136.8,32754.56,32754.56,,,84,"HbA1c 6.0 %, Height 177.9 cm, PainScore 0.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 82.0 mm[Hg], SBP 110.0 mm[Hg], HR 100.0 /min, RR 12.0 /min, BloodGlucose 97.8 mg/dL, BloodBUN 19.7 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 137.3 mmol/L, BloodK 3.8 mmol/L, BloodChloride 103.9 mmol/L, TotalCO2Blood 21.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","AFib, Alzheimer's","APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab, Verapamil 80mg tab, Warfarin 5mg tab, Digoxin 0.125mg tab, Galantamine 4mg tab","DC cardioversion, Health/social needs assess, Depression screen, Depression screen, Dental referral"
998,1045,Dental examination and treatment including cleaning and oral health education for 84-year-old patient.,1935-04-18,Alvin56,2019-07-18,2019-07-18,18,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2638.95,103697008.0,Patient referral for dental care (procedure),84,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
999,1047,Emergency admission at 84 due to drug overdose; managed acutely.,1935-04-18,Alvin56,2019-10-18,2019-10-18,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,84,,Drug OD,,
1000,1048,Rehabilitation and detoxification program ongoing post-overdose at 84 years.,1935-04-18,Alvin56,2019-12-13,2019-12-21,18,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,111.18,6525002.0,Dependent drug abuse (disorder),84,PainScore 4.0 {score},,,
1001,1050,"85-year-old patient admitted to hospice care with comprehensive certification and assessments, individualized care plan implemented.",1935-04-18,Alvin56,2020-04-23,2020-05-15,18,hospice,305336008,Admission to hospice (procedure),137.53,11785.33,11750.33,26929004.0,Alzheimer's disease (disorder),85,,,,"Certification, Notifications, Initial assess, Indiv care plan, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Pt d/c"
1002,1053,"85-year-old hospice patient received general examination including multiple screenings and dental referral. Medication regimen includes cardiovascular, analgesics, anticoagulants, and bone protection.",1935-04-18,Alvin56,2020-07-09,2020-07-09,18,wellness,162673000,General examination of patient (procedure),136.8,860.16,860.16,,,85,"HbA1c 5.8 %, Height 177.9 cm, PainScore 2.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 87.0 mm[Hg], SBP 108.0 mm[Hg], HR 94.0 /min, RR 13.0 /min, BloodGlucose 73.0 mg/dL, BloodBUN 17.8 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.8 mmol/L, BloodK 4.3 mmol/L, BloodChloride 107.3 mmol/L, TotalCO2Blood 21.4 mmol/L, TotalCholesterol 180.8 mg/dL, HDL 27.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,"Verapamil 80mg tab, Digoxin 0.125mg tab, APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Warfarin 5mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1003,1060,Detailed dental evaluations and care performed including bitewing X-rays and education.,1935-04-18,Alvin56,2020-07-23,2020-07-23,18,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3070.35,103697008.0,Patient referral for dental care (procedure),85,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1004,1061,85-year-old office visit with prescription of donepezil and memantine combination for cognitive impairment.,1935-04-18,Alvin56,2020-08-11,2020-08-11,18,ambulatory,316744009,Office Visit,85.55,85.55,50.55,26929004.0,Alzheimer's disease (disorder),85,,,24hr Donepezil 10mg+Memantine 28mg ER cap,
1005,1062,Urgent ER admission for drug overdose at age 85; acute stabilization and follow-up planned.,1935-04-18,Alvin56,2020-10-17,2020-10-18,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,85,,Drug OD,,
1006,1063,Rehabilitation for patient at 85 years continuing therapy sessions.,1935-04-18,Alvin56,2020-11-01,2020-11-01,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),85,,,,Rehab
1007,1064,Ongoing rehab encounters at 85.,1935-04-18,Alvin56,2020-12-01,2020-12-01,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),85,,,,Rehab
1008,1065,Further rehab support provided at 85 years.,1935-04-18,Alvin56,2020-12-31,2020-12-31,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),85,,,,Rehab
1009,1066,Vaccinations administered at 85 to boost active immunity.,1935-04-18,Alvin56,2021-02-25,2021-02-25,18,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,243.58,,,85,,,,
1010,1067,Additional vaccine doses given as part of immunization schedule.,1935-04-18,Alvin56,2021-03-25,2021-03-25,18,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,243.58,,,85,,,,
1011,1068,"Comprehensive assessment at 86 including medication reconciliation, social needs, falls risk, domestic abuse screening, and depression. Patient currently not in workforce.",1935-04-18,Alvin56,2021-07-15,2021-07-15,18,wellness,162673000,General examination of patient (procedure),136.8,1001.28,801.02,,,86,"HbA1c 6.4 %, Height 177.9 cm, PainScore 1.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 87.0 mm[Hg], SBP 105.0 mm[Hg], HR 98.0 /min, RR 14.0 /min, BloodGlucose 75.8 mg/dL, BloodBUN 7.6 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 138.9 mmol/L, BloodK 4.1 mmol/L, BloodChloride 109.1 mmol/L, TotalCO2Blood 27.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,"Verapamil 80mg tab, Digoxin 0.125mg tab, APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Warfarin 5mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen"
1012,1107,Rehab sessions ongoing at 86 years.,1935-04-18,Alvin56,2021-11-13,2021-11-13,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),86,,,,Rehab
1013,1109,Continuing rehab care at 86.,1935-04-18,Alvin56,2021-12-13,2021-12-13,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),86,,,,Rehab
1014,1111,Additional rehab therapy at 86.,1935-04-18,Alvin56,2022-01-12,2022-01-12,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),86,,,,Rehab
1015,1112,Rehab program continued for patient at 86.,1935-04-18,Alvin56,2022-02-11,2022-02-11,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),86,,,,Rehab
1016,1122,ER admission for drug overdose at 86 years; patient stabilized and referred for rehab.,1935-04-18,Alvin56,2022-03-20,2022-03-20,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,116.94,55680006.0,Drug overdose,86,,Drug OD,,
1017,1123,Patient engaged in drug rehabilitation and detoxification program at 86 years.,1935-04-18,Alvin56,2022-03-27,2022-04-01,18,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,116.94,6525002.0,Dependent drug abuse (disorder),86,PainScore 5.0 {score},,,
1018,1124,General office visit at 86; no noted changes.,1935-04-18,Alvin56,2022-04-14,2022-04-14,18,ambulatory,316744009,Office Visit,85.55,85.55,68.44,26929004.0,Alzheimer's disease (disorder),86,,,,
1019,1125,Rehabilitation care continued at 87.,1935-04-18,Alvin56,2022-05-13,2022-05-13,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1020,1126,Ongoing rehab treatments at 87.,1935-04-18,Alvin56,2022-06-12,2022-06-12,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1021,1127,Additional rehab services at 87 years.,1935-04-18,Alvin56,2022-07-12,2022-07-12,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1022,1128,"87-year-old full-time employed patient examined with comprehensive screens and dental referral. Stress noted, medication review due.",1935-04-18,Alvin56,2022-07-21,2022-07-21,18,wellness,162673000,General examination of patient (procedure),136.8,1722.96,1722.96,,,87,"HbA1c 6.2 %, Height 177.9 cm, PainScore 1.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 87.0 mm[Hg], SBP 104.0 mm[Hg], HR 86.0 /min, RR 14.0 /min, BloodGlucose 71.5 mg/dL, BloodBUN 10.9 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 143.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 103.8 mmol/L, TotalCO2Blood 26.6 mmol/L, AutoWBCCount 9.5 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 14.5 g/dL, AutoHct 47.3 %, AutoMCV 81.9 fL, MCH 27.4 pg, MCHC 33.9 g/dL, RDWv 42.3 fL, PlateletCount 379.5 10*3/uL, PDW 424.1 fL, MPV 11.6 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Stress","Verapamil 80mg tab, Digoxin 0.125mg tab, APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Warfarin 5mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1023,1133,Dental care provided including composite restoration post-fracture and caries management at age 87.,1935-04-18,Alvin56,2022-08-04,2022-08-04,18,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3070.35,103697008.0,Patient referral for dental care (procedure),87,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental composite post-fx, Oral health ed"
1024,1134,Rehab sessions ongoing at 87.,1935-04-18,Alvin56,2022-08-11,2022-08-11,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1025,1135,Further rehabilitation care at 87.,1935-04-18,Alvin56,2022-09-10,2022-09-10,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1026,1136,Continued rehab therapy.,1935-04-18,Alvin56,2022-10-10,2022-10-10,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1027,1137,Rehab treatment visits ongoing.,1935-04-18,Alvin56,2022-11-09,2022-11-09,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1028,1138,Further rehab encounters noted.,1935-04-18,Alvin56,2022-12-09,2022-12-09,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1029,1139,Rehabilitation ongoing.,1935-04-18,Alvin56,2023-01-08,2023-01-09,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1030,1140,Rehab sessions continue at 87.,1935-04-18,Alvin56,2023-02-08,2023-02-08,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1031,1141,Additional rehabilitation care.,1935-04-18,Alvin56,2023-03-10,2023-03-10,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),87,,,,Rehab
1032,1142,Rehabilitation visits at 88 years.,1935-04-18,Alvin56,2023-07-09,2023-07-09,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),88,,,,Rehab
1033,1143,"Comprehensive exam at 88 including mental health and fall risk assessments; patient not currently working. Medications reviewed, no changes yet.",1935-04-18,Alvin56,2023-07-27,2023-07-27,18,wellness,162673000,General examination of patient (procedure),136.8,1323.1,1323.1,,,88,"HbA1c 5.8 %, Height 177.9 cm, PainScore 1.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 84.0 mm[Hg], SBP 103.0 mm[Hg], HR 60.0 /min, RR 13.0 /min, BloodGlucose 78.7 mg/dL, BloodBUN 11.5 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 137.6 mmol/L, BloodK 3.9 mmol/L, BloodChloride 103.1 mmol/L, TotalCO2Blood 27.0 mmol/L, TotalCholesterol 206.1 mg/dL, HDL 32.6 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce","Verapamil 80mg tab, Digoxin 0.125mg tab, APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Warfarin 5mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
1034,1146,Routine office visit at 88 years with ongoing care management.,1935-04-18,Alvin56,2024-01-19,2024-01-19,18,ambulatory,316744009,Office Visit,85.55,85.55,50.55,26929004.0,Alzheimer's disease (disorder),88,,,,
1035,1147,Rehab therapy ongoing at 89.,1935-04-18,Alvin56,2024-06-25,2024-06-25,18,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),89,,,,Rehab
1036,1148,"89-year-old patient part-time employed, evaluated with multiple screenings; medications reviewed, no changes made.",1935-04-18,Alvin56,2024-08-01,2024-08-01,18,wellness,162673000,General examination of patient (procedure),136.8,785.58,785.58,,,89,"HbA1c 6.4 %, Height 177.9 cm, PainScore 0.0 {score}, Weight 86.8 kg, BMI 27.4 kg/m2, DBP 86.0 mm[Hg], SBP 101.0 mm[Hg], HR 64.0 /min, RR 13.0 /min, BloodGlucose 89.8 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 140.3 mmol/L, BloodK 4.5 mmol/L, BloodChloride 103.6 mmol/L, TotalCO2Blood 23.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed","Verapamil 80mg tab, Digoxin 0.125mg tab, APAP 300mg/Codeine 15mg tab, APAP 325mg/Oxycodone 10mg tab (Percocet), APAP 325mg tab (Tylenol), Warfarin 5mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab, Alendronate 10mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
1037,1152,Emergency admission for drug overdose at 89 years; patient stabilized and referred to rehab.,1935-04-18,Alvin56,2024-09-19,2024-09-19,18,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,89,,Drug OD,,
1038,949,General examination performed for an 18-year-old patient currently in higher education experiencing transportation difficulties.,1968-06-12,Anjanette878,1986-08-06,1986-08-06,19,wellness,162673000,General examination of patient (procedure),136.8,968.33,0.0,,,18,,"Higher ed, No transport",,
1039,951,Repeat general exam at 19 years old confirming ongoing transport issues that may affect healthcare access.,1968-06-12,Anjanette878,1987-08-12,1987-08-12,19,wellness,162673000,General examination of patient (procedure),136.8,704.2,554.2,,,19,,Transport issues,,
1040,967,"At age 34, patient noted to have prediabetes during general examination, requiring lifestyle and monitoring interventions.",1968-06-12,Anjanette878,2002-08-28,2002-08-28,19,wellness,162673000,General examination of patient (procedure),136.8,1214.08,0.0,,,34,,Prediabetes,,
1041,969,"Patient aged 37 found to have obesity (BMI >30), emphasizing the need for weight management support.",1968-06-12,Anjanette878,2005-08-31,2005-08-31,19,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,37,,Obesity BMI>30,,
1042,970,"General exam at 42 years shows patient employed full-time, overall stable condition.",1968-06-12,Anjanette878,2010-06-23,2010-06-23,19,wellness,162673000,General examination of patient (procedure),136.8,1132.16,0.0,,,42,,Full-time employed,,
1043,980,"At 44, patient evaluated; medication review indicated to assess treatment regimen.",1968-06-12,Anjanette878,2012-06-27,2012-06-27,19,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,44,,Med review due,,
1044,982,"At 45, patient managed for knee osteoarthritis with Naproxen 220mg to address pain and inflammation.",1968-06-12,Anjanette878,2013-08-11,2013-08-11,19,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,239873007.0,Osteoarthritis of knee (disorder),45,,Knee OA,Naproxen Na 220mg tab,
1045,983,"Checkup at 46 highlighted patient's social isolation, suggesting possible psychosocial support needs.",1968-06-12,Anjanette878,2014-12-24,2014-12-24,19,outpatient,185349003,Encounter for check up (procedure),85.55,734.33,168.86,,,46,,Social isolation,,
1046,984,Consultation at 47 to discuss treatment options; details to be monitored.,1968-06-12,Anjanette878,2016-02-29,2016-02-29,19,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),47,,,,
1047,985,IUD insertion performed at 47 for contraception management.,1968-06-12,Anjanette878,2016-03-05,2016-03-05,19,outpatient,308335008,Patient encounter procedure (procedure),142.58,4398.7,2466.62,389095005.0,Contraception care (regime/therapy),47,,,,IUD insertion
1048,986,Subcutaneous contraceptive removal and insertion completed during the same visit at age 47.,1968-06-12,Anjanette878,2016-05-04,2016-05-04,19,outpatient,308335008,Patient encounter procedure (procedure),142.58,11708.16,9366.52,389095005.0,Contraception care (regime/therapy),47,,,,"SC contraceptive removal, SC contraceptive insert"
1049,987,"Patient presented with viral sinusitis symptoms at 47, treated symptomatically.",1968-06-12,Anjanette878,2016-06-11,2016-06-11,19,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),47,,Viral sinusitis,,
1050,988,General exam at 48 with emphasis on health and social needs assessments including repeated depression screening; part-time employment and reported stress noted.,1968-06-12,Anjanette878,2016-07-06,2016-07-06,19,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,48,"HbA1c 6.2 %, Height 162.5 cm, PainScore 4.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 85.0 mm[Hg], SBP 119.0 mm[Hg], HR 92.0 /min, RR 14.0 /min, BloodGlucose 97.4 mg/dL, BloodBUN 12.2 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 136.5 mmol/L, BloodK 4.7 mmol/L, BloodChloride 106.7 mmol/L, TotalCO2Blood 28.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress",,"Health/social needs assess, Depression screen, Depression screen"
1051,989,Follow-up at 48 for viral sinusitis symptoms; condition monitored.,1968-06-12,Anjanette878,2017-03-26,2017-03-26,19,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),48,,Viral sinusitis,,
1052,990,Subcutaneous contraceptive removal at 49 years old.,1968-06-12,Anjanette878,2017-11-15,2017-11-15,19,outpatient,308335008,Patient encounter procedure (procedure),142.58,8753.24,5836.19,389095005.0,Contraception care (regime/therapy),49,,,,SC contraceptive removal
1053,991,Initial prenatal visit at 49 including pregnancy testing and fetal viability ultrasound; history of first trimester miscarriage with blighted ovum documented.,1968-06-12,Anjanette878,2018-01-03,2018-01-03,19,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,13641.25,10913.0,72892002.0,Normal pregnancy (finding),49,,"Normal preg, 1st tri miscarriage, Blighted ovum",,"Preg test, Fetal viability US"
1054,992,Prenatal follow-up at 49 included physical exam and depression screening due to history of miscarriage.,1968-06-12,Anjanette878,2018-01-16,2018-01-16,19,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,804.3,35999006.0,Blighted ovum (disorder),49,,H/o miscarriage,,"PE, Depression screen"
1055,993,Contraceptive consultation with prescription of Camila 28-day pack at 49.,1968-06-12,Anjanette878,2018-02-23,2018-02-23,19,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),49,,,Camila 28d pack,
1056,994,"Comprehensive health and social assessment at 50 including anxiety, depression, domestic abuse, and substance use screens; patient employed full-time.",1968-06-12,Anjanette878,2018-06-13,2018-06-13,19,wellness,162673000,General examination of patient (procedure),136.8,996.16,0.0,,,50,"HbA1c 6.1 %, Height 162.5 cm, PainScore 2.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 82.0 mm[Hg], SBP 119.0 mm[Hg], HR 79.0 /min, RR 12.0 /min, BloodGlucose 69.2 mg/dL, BloodBUN 8.7 mg/dL, BloodCreatinine 1.3 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 142.1 mmol/L, BloodK 4.7 mmol/L, BloodChloride 110.1 mmol/L, TotalCO2Blood 26.9 mmol/L, TotalCholesterol 160.0 mg/dL, HDL 62.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,,"Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1057,996," ""Colonoscopy performed at 50 as part of routine checkup.""",1968-06-12,Anjanette878,2018-06-20,2018-06-20,19,ambulatory,185349003,Encounter for check up (procedure),85.55,17479.68,13614.27,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
1058,997,"At 51, patient underwent health and social needs assessment; domestic abuse and repeated depression screens conducted; unemployment noted.",1968-06-12,Anjanette878,2019-06-19,2019-06-19,19,wellness,162673000,General examination of patient (procedure),136.8,1057.58,0.0,,,51,"HbA1c 6.0 %, Height 162.5 cm, PainScore 2.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 84.0 mm[Hg], SBP 115.0 mm[Hg], HR 83.0 /min, RR 13.0 /min, BloodGlucose 83.4 mg/dL, BloodBUN 8.5 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 106.6 mmol/L, TotalCO2Blood 29.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Unemployed,,"Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen"
1059,1004,"At 52, patient had health/social needs and mental health assessments, plus dental referral; patient employed full-time with noted social isolation.",1968-06-12,Anjanette878,2020-06-24,2020-06-24,19,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,52,"HbA1c 5.9 %, Height 162.5 cm, PainScore 2.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 85.0 mm[Hg], SBP 121.0 mm[Hg], HR 75.0 /min, RR 13.0 /min, BloodGlucose 76.1 mg/dL, BloodBUN 8.0 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 142.9 mmol/L, BloodK 4.8 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 22.2 mmol/L, AutoWBCCount 9.9 10*3/uL, AutoRBCCount 5.5 10*6/uL, BloodHgb 13.9 g/dL, AutoHct 41.8 %, AutoMCV 91.3 fL, MCH 27.3 pg, MCHC 35.2 g/dL, RDWv 40.0 fL, PlateletCount 171.0 10*3/uL, PDW 420.6 fL, MPV 10.6 fL, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Social isolation",,"Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral"
1060,1006,"Detailed dental treatments including scaling, fluoride application and education performed; NaF 2.72% oral gel prescribed.",1968-06-12,Anjanette878,2020-07-08,2020-07-08,19,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),52,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1061,1011,Viral sinusitis at 52 treated with Amoxicillin/Clavulanate 250/125mg.,1968-06-12,Anjanette878,2021-02-27,2021-02-27,19,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),52,,Viral sinusitis,Amox/Clav 250/125mg tab,
1062,1013,Vaccinations administered at 52 for active immunity.,1968-06-12,Anjanette878,2021-03-10,2021-03-10,19,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,52,,,,
1063,1014,Additional vaccination administered to maintain immunity status.,1968-06-12,Anjanette878,2021-04-07,2021-04-07,19,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,52,,,,
1064,1016,Medications reconciled with comprehensive assessments for mental health and substance use at 53.,1968-06-12,Anjanette878,2021-06-30,2021-06-30,19,wellness,162673000,General examination of patient (procedure),136.8,1262.25,0.0,,,53,"HbA1c 6.3 %, Height 162.5 cm, PainScore 0.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 86.0 mm[Hg], SBP 122.0 mm[Hg], HR 69.0 /min, RR 14.0 /min, BloodGlucose 89.9 mg/dL, BloodBUN 14.4 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 136.8 mmol/L, BloodK 4.6 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 23.2 mmol/L, TotalCholesterol 188.4 mg/dL, HDL 52.1 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess"
1065,1018,Repeat viral sinusitis episode at 53 treated again with Amoxicillin/Clavulanate.,1968-06-12,Anjanette878,2021-10-24,2021-10-24,19,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),53,,Viral sinusitis,Amox/Clav 250/125mg tab,
1066,1019,"At 54, medication review indicated alongside assessments for social and domestic risks including intimate partner violence and limited social contact.",1968-06-12,Anjanette878,2022-07-06,2022-07-06,19,wellness,162673000,General examination of patient (procedure),136.8,1458.07,0.0,,,54,"HbA1c 6.1 %, Height 162.5 cm, PainScore 0.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 84.0 mm[Hg], SBP 121.0 mm[Hg], HR 91.0 /min, RR 13.0 /min, BloodGlucose 72.2 mg/dL, BloodBUN 10.6 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 136.3 mmol/L, BloodK 4.3 mmol/L, BloodChloride 103.3 mmol/L, TotalCO2Blood 25.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Limited social contact, IPV",,"Med rec, Health/social needs assess, Domestic abuse screen"
1067,1020," ""Surveillance colonoscopy at 55 as part of preventive care.""",1968-06-12,Anjanette878,2023-06-20,2023-06-20,19,ambulatory,185349003,Encounter for check up (procedure),85.55,8131.3,1222.38,275978004.0,Screening for malignant neoplasm of colon (procedure),55,,,,Colonoscopy
1068,1022,Reevaluation at 55 with focus on medication review and depression screening; stress reported.,1968-06-12,Anjanette878,2023-07-12,2023-07-12,19,wellness,162673000,General examination of patient (procedure),136.8,1001.28,600.77,,,55,"HbA1c 6.2 %, Height 162.5 cm, PainScore 2.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 81.0 mm[Hg], SBP 121.0 mm[Hg], HR 72.0 /min, RR 14.0 /min, BloodGlucose 99.0 mg/dL, BloodBUN 12.0 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 143.0 mmol/L, BloodK 4.7 mmol/L, BloodChloride 105.9 mmol/L, TotalCO2Blood 21.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",,"Med rec, Health/social needs assess, Depression screen, Depression screen"
1069,1024,"At 56, comprehensive medical, mental health, substance use, and dental assessments performed; medication review indicated; patient employed part-time and experiencing IPV.",1968-06-12,Anjanette878,2024-07-17,2024-07-17,19,wellness,162673000,General examination of patient (procedure),136.8,1069.06,0.0,,,56,"HbA1c 5.9 %, Height 162.5 cm, PainScore 3.0 {score}, Weight 80.6 kg, BMI 30.5 kg/m2, DBP 79.0 mm[Hg], SBP 121.0 mm[Hg], HR 77.0 /min, RR 12.0 /min, BloodGlucose 71.8 mg/dL, BloodBUN 19.7 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 142.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 108.2 mmol/L, TotalCO2Blood 26.1 mmol/L, TotalCholesterol 137.6 mg/dL, HDL 46.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, IPV",,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1070,1027,"Dental care continued at 56 with cleaning, bitewing x-rays, fluoride treatment, and education provided; NaF 2.72% oral gel prescribed.",1968-06-12,Anjanette878,2024-07-31,2024-07-31,19,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),56,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1071,1031,Emergency treatment provided for chronic migraine at age 14.,1976-03-03,Charlie254,1990-04-06,1990-04-06,20,emergency,182813001,Emergency treatment (procedure),146.18,146.18,0.0,124171000119105.0,Chronic intractable migraine without aura (disorder),14,,Chronic migraine,,
1072,1032,Emergency dental treatment for impacted molars at age 14.,1976-03-03,Charlie254,1990-10-13,1990-10-13,20,emergency,182813001,Emergency treatment (procedure),146.18,9352.57,0.0,196416002.0,Impacted molars (disorder),14,,Impacted molars,,
1073,1033,Hospital admission due to chronic pain management at age 15.,1976-03-03,Charlie254,1991-06-08,1991-06-08,20,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,0.0,82423001.0,Chronic pain (finding),15,,Chronic pain,,
1074,1034,"Well child visit at 17 identified risk behaviors, counseling recommended.",1976-03-03,Charlie254,1993-04-21,1993-04-21,20,wellness,410620009,Well child visit (procedure),136.8,704.2,554.2,,,17,,Risk behaviors,,
1075,1035,Encounter addressing drug dependency issues at age 17.,1976-03-03,Charlie254,1994-01-12,1994-01-12,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,466.95,6525002.0,Dependent drug abuse (disorder),17,,Drug dependency,,
1076,1036,General examination at 18 included health education related to high school.,1976-03-03,Charlie254,1994-04-27,1994-04-27,20,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,HS education,,
1077,1037,General exam at 19 included screening and counseling for intimate partner violence.,1976-03-03,Charlie254,1995-05-03,1995-05-03,20,wellness,162673000,General examination of patient (procedure),136.8,783.9,0.0,,,19,,IPV,,
1078,1038," ""Emergency room admission at 20 for acute issues; details unspecified.""",1976-03-03,Charlie254,1997-01-10,1997-01-10,20,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,55680006.0,Drug overdose,20,,,,
1079,1039,Exam at 31 noted obesity with BMI >30; counseling on weight management given.,1976-03-03,Charlie254,2007-05-16,2007-05-16,20,wellness,162673000,General examination of patient (procedure),136.8,1764.2,1764.2,,,31,,Obesity BMI>30,,
1080,1040,Urgent care visit at 32 flagged social isolation; social support recommended.,1976-03-03,Charlie254,2008-04-02,2008-04-02,20,urgentcare,702927004,Urgent care clinic (environment),142.58,709.98,0.0,,,32,,Social isolation,,
1081,1041,Encounter at 33 for sleep disorder evaluation and management.,1976-03-03,Charlie254,2010-02-23,2010-02-23,20,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,948.35,39898005.0,Sleep disorder (disorder),33,,Sleep d/o,,
1082,1042,"At 34, diagnosed with obstructive sleep apnea; treatment options discussed.",1976-03-03,Charlie254,2010-03-22,2010-03-23,20,inpatient,185347001,Encounter for problem (procedure),87.71,970.03,776.03,39898005.0,Sleep disorder (disorder),34,,OSA,,
1083,1043,Urgent care visit at 36 noted patient employed full-time.,1976-03-03,Charlie254,2012-10-17,2012-10-17,20,urgentcare,702927004,Urgent care clinic (environment),142.58,1141.38,913.1,,,36,,Full-time employed,,
1084,1044,Encounter at 37 for chronic neck pain management.,1976-03-03,Charlie254,2014-01-31,2014-01-31,20,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,68.44,82423001.0,Chronic pain (finding),37,,Chronic neck pain,,
1085,1046,Follow-up at 38 with prescription of APAP 300mg/Hydrocodone 5mg for pain.,1976-03-03,Charlie254,2014-04-01,2014-04-01,20,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),38,,,APAP 300mg/Hydrocodone 5mg tab,
1086,1049,Consultation at 39 resulted in prescription of Errin 28-day contraceptive pack.,1976-03-03,Charlie254,2015-07-06,2015-07-06,20,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),39,,,Errin 28d pack,
1087,1051,"Comprehensive exam at 40 including med review, sleep apnea assessment, and domestic abuse screening. Patient is part-time employed with stress and limited social contacts noted.",1976-03-03,Charlie254,2016-03-09,2016-03-09,20,wellness,162673000,General examination of patient (procedure),136.8,1571.89,1071.11,,,40,"Height 165.0 cm, PainScore 0.0 {score}, Weight 82.0 kg, BMI 30.1 kg/m2, DBP 73.0 mm[Hg], SBP 105.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, AutoWBCCount 6.9 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 17.1 g/dL, AutoHct 46.7 %, AutoMCV 87.0 fL, MCH 29.5 pg, MCHC 33.0 g/dL, RDWv 43.3 fL, PlateletCount 229.3 10*3/uL, PDW 447.5 fL, MPV 10.0 fL, SmokingStatus Ex-smoker (finding) nan","Med review due, Part-time employed, Limited social contact, Stress",,"Med rec, Sleep apnea assess, Health/social needs assess, Domestic abuse screen, Dental referral"
1088,1052,"Dental check-up at 40 included cleaning, bitewing X-rays, gingival examination and oral health education.",1976-03-03,Charlie254,2016-03-23,2016-03-23,20,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),40,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1089,1054," ""Consultation at 41 for unspecified treatment.""",1976-03-03,Charlie254,2017-06-25,2017-06-25,20,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),41,,,,
1090,1055,IUD insertion performed at age 41.,1976-03-03,Charlie254,2017-06-29,2017-06-29,20,outpatient,308335008,Patient encounter procedure (procedure),142.58,5193.05,4082.11,389095005.0,Contraception care (regime/therapy),41,,,,IUD insertion
1091,1056,Emergency admission at 41 following drug overdose; acute management provided.,1976-03-03,Charlie254,2017-08-07,2017-08-07,20,emergency,50849002,Emergency room admission (procedure),146.18,146.18,116.94,55680006.0,Drug overdose,41,,Drug OD,,
1092,1057,Encounter at 41 involving rehabilitation services.,1976-03-03,Charlie254,2017-10-09,2017-10-09,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),41,,,,Rehab
1093,1058,"General exam at 42 included assessments for sleep apnea, anxiety, depression, and social needs. Patient is full-time employed; medication review pending.",1976-03-03,Charlie254,2018-03-14,2018-03-14,20,wellness,162673000,General examination of patient (procedure),136.8,1482.18,999.34,,,42,"Height 165.0 cm, PainScore 4.0 {score}, Weight 82.0 kg, BMI 30.1 kg/m2, DBP 74.0 mm[Hg], SBP 88.0 mm[Hg], HR 67.0 /min, RR 14.0 /min, TotalCholesterol 131.4 mg/dL, HDL 28.4 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed",,"Sleep apnea assess, Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
1094,1059,Received intramuscular injection of 1ml MPA 150mg/ml at 42.,1976-03-03,Charlie254,2018-06-24,2018-06-24,20,outpatient,698314001,Consultation for treatment (procedure),142.58,1691.09,1352.87,389095005.0,Contraception care (regime/therapy),42,,,1ml MPA 150mg/ml inj,IM inj
1095,1069,Underwent drug rehabilitation and detoxification therapy at 42.,1976-03-03,Charlie254,2018-11-07,2018-11-19,20,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,116.94,6525002.0,Dependent drug abuse (disorder),42,PainScore 5.0 {score},,,
1096,1070,Continued rehabilitation encounters at age 42.,1976-03-03,Charlie254,2018-11-26,2018-11-26,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),42,,,,Rehab
1097,1071,Further rehabilitation encounters at 42.,1976-03-03,Charlie254,2018-12-26,2018-12-27,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),42,,,,Rehab
1098,1072,Consultation at 43 with prescription of Errin 28-day contraceptive pack.,1976-03-03,Charlie254,2019-06-19,2019-06-19,20,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,111.12,389095005.0,Contraception care (regime/therapy),43,,,Errin 28d pack,
1099,1073,IUD replacement procedure completed at 43.,1976-03-03,Charlie254,2019-07-17,2019-07-17,20,outpatient,308335008,Patient encounter procedure (procedure),142.58,8754.12,7003.29,389095005.0,Contraception care (regime/therapy),43,,,,IUD replacement
1100,1074,Rehabilitation follow-up visit at 43.,1976-03-03,Charlie254,2019-11-02,2019-11-02,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),43,,,,Rehab
1101,1075,Continued rehab care at 43.,1976-03-03,Charlie254,2019-12-02,2019-12-02,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),43,,,,Rehab
1102,1076,Additional rehab encounters at 43.,1976-03-03,Charlie254,2020-01-01,2020-01-01,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),43,,,,Rehab
1103,1077,Ongoing rehabilitation services at 44.,1976-03-03,Charlie254,2020-03-06,2020-03-06,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,227.16,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1104,1078,"Comprehensive exam at 44 included med review, mental health screenings, and dental referral. Patient is unemployed.",1976-03-03,Charlie254,2020-03-18,2020-03-18,20,wellness,162673000,General examination of patient (procedure),136.8,919.9,735.92,,,44,"Height 165.0 cm, PainScore 4.0 {score}, Weight 82.0 kg, BMI 30.1 kg/m2, DBP 76.0 mm[Hg], SBP 105.0 mm[Hg], HR 64.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan",Unemployed,,"Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
1105,1079,Extensive dental care at 44 including surgery and post-op care; treated for gum disease with fluoride gel.,1976-03-03,Charlie254,2020-04-01,2020-04-01,20,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,103697008.0,Patient referral for dental care (procedure),44,,Gum disease,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed"
1106,1080,Rehabilitation care continued at 44.,1976-03-03,Charlie254,2020-04-05,2020-04-05,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1107,1081,Further rehab at 44.,1976-03-03,Charlie254,2020-05-05,2020-05-05,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1108,1082,Additional rehab visits at 44.,1976-03-03,Charlie254,2020-06-04,2020-06-04,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1109,1083,Consultation with Liletta 52mg IUS contraceptive prescribed at 44.,1976-03-03,Charlie254,2020-06-13,2020-06-13,20,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),44,,,Liletta 52mg IUS,
1110,1084,IUD insertion procedure performed at age 44.,1976-03-03,Charlie254,2020-06-17,2020-06-17,20,outpatient,308335008,Patient encounter procedure (procedure),142.58,13437.19,10749.75,389095005.0,Contraception care (regime/therapy),44,,,,IUD insertion
1111,1085,Ongoing rehab treatment at 44.,1976-03-03,Charlie254,2020-07-04,2020-07-04,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1112,1086,Check-up at 44 included med review and sleep apnea assessment; gingivitis noted.,1976-03-03,Charlie254,2020-07-22,2020-07-22,20,outpatient,185349003,Encounter for check up (procedure),85.55,1300.05,1040.04,,,44,"Height 165.0 cm, PainScore 0.0 {score}, Weight 80.0 kg, BMI 29.4 kg/m2, DBP 76.0 mm[Hg], SBP 105.0 mm[Hg], HR 81.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Gingivitis",,"Med rec, Sleep apnea assess, Health/social needs assess, Depression screen, Depression screen, Dental referral"
1113,1087,Encounter for viral sinusitis symptoms at 44.,1976-03-03,Charlie254,2020-07-29,2020-07-29,20,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),44,,Viral sinusitis,,
1114,1088,Dental follow-up at 44 with thorough cleaning and fluoride treatment.,1976-03-03,Charlie254,2020-08-05,2020-08-05,20,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),44,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1115,1089,Rehab services continued at 44.,1976-03-03,Charlie254,2020-08-12,2020-08-12,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1116,1090,Continued rehab visits at 44.,1976-03-03,Charlie254,2020-09-11,2020-09-11,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1117,1091,Additional rehabilitation encounters at 44.,1976-03-03,Charlie254,2020-10-11,2020-10-11,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1118,1092,Ongoing rehab sessions at 44.,1976-03-03,Charlie254,2020-11-10,2020-11-10,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1119,1093,Further rehab treatment at 44.,1976-03-03,Charlie254,2020-12-10,2020-12-10,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),44,,,,Rehab
1120,1094," ""Vaccination administered at age 45.""",1976-03-03,Charlie254,2021-04-28,2021-04-28,20,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,36.46,,,45,,,,
1121,1095," ""Vaccination administered at age 45.""",1976-03-03,Charlie254,2021-05-26,2021-05-26,20,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,45,,,,
1122,1096,Consultation at 45 prescribed Levora 0.15/30 contraceptive pack.,1976-03-03,Charlie254,2021-06-12,2021-06-12,20,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),45,,,Levora 0.15/30 28d pack,
1123,1097,General exam at 46 with sleep apnea and depression screening; patient working full-time; medication review pending.,1976-03-03,Charlie254,2022-03-23,2022-03-23,20,wellness,162673000,General examination of patient (procedure),136.8,1284.76,841.4,,,46,"Height 165.0 cm, PainScore 4.0 {score}, Weight 76.4 kg, BMI 28.1 kg/m2, DBP 71.0 mm[Hg], SBP 104.0 mm[Hg], HR 77.0 /min, RR 15.0 /min, TotalCholesterol 218.6 mg/dL, HDL 25.9 mg/dL, AutoWBCCount 8.9 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 15.2 g/dL, AutoHct 44.2 %, AutoMCV 82.4 fL, MCH 30.2 pg, MCHC 33.8 g/dL, RDWv 40.0 fL, PlateletCount 380.1 10*3/uL, PDW 277.2 fL, MPV 10.3 fL, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed",,"Sleep apnea assess, Health/social needs assess, Depression screen, Depression screen"
1124,1098,Rehab visits continued at 46.,1976-03-03,Charlie254,2022-07-16,2022-07-16,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1125,1099,Continued rehabilitation at 46.,1976-03-03,Charlie254,2022-08-15,2022-08-15,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1126,1100,Additional rehab care at 46.,1976-03-03,Charlie254,2022-09-14,2022-09-15,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1127,1101,Rehab session at 46.,1976-03-03,Charlie254,2022-10-15,2022-10-15,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1128,1102,Ongoing rehab services at 46.,1976-03-03,Charlie254,2022-11-14,2022-11-14,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1129,1103,IUD removal procedure performed at 46.,1976-03-03,Charlie254,2022-12-14,2022-12-14,20,outpatient,308335008,Patient encounter procedure (procedure),142.58,573.98,459.18,389095005.0,Contraception care (regime/therapy),46,,,,IUD removal
1130,1104,Continued rehab care after IUD removal at 46.,1976-03-03,Charlie254,2022-12-21,2022-12-21,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1131,1105,Further rehab treatment at 46.,1976-03-03,Charlie254,2023-01-20,2023-01-20,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1132,1106,Prenatal initial visit at 46 confirming normal pregnancy with comprehensive prenatal testing.,1976-03-03,Charlie254,2023-02-01,2023-02-01,20,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,51513.72,41210.96,72892002.0,Normal pregnancy (finding),46,,Normal preg,,"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"
1133,1108,Ongoing rehabilitation services at 46.,1976-03-03,Charlie254,2023-02-19,2023-02-19,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),46,,,,Rehab
1134,1110,Prenatal visit assessing fetal growth and genetic testing at 46.,1976-03-03,Charlie254,2023-03-01,2023-03-01,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6227.42,4981.93,72892002.0,Normal pregnancy (finding),46,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
1135,1113,Rehabilitation encounter at 47.,1976-03-03,Charlie254,2023-03-21,2023-03-21,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,227.16,6525002.0,Dependent drug abuse (disorder),47,,,,Rehab
1136,1114,Prenatal visit with anatomy scan and AFP testing at 47.,1976-03-03,Charlie254,2023-03-29,2023-03-29,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,7379.61,5903.68,72892002.0,Normal pregnancy (finding),47,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
1137,1115,Continued rehab care at 47.,1976-03-03,Charlie254,2023-04-20,2023-04-20,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),47,,,,Rehab
1138,1116,Prenatal visit monitoring fetal growth and heart rate at 47.,1976-03-03,Charlie254,2023-04-26,2023-04-26,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8731.15,6984.91,72892002.0,Normal pregnancy (finding),47,,,,"Fundal height eval, Fetal heart auscult"
1139,1117,Further prenatal visit with fetal monitoring at 47.,1976-03-03,Charlie254,2023-05-24,2023-05-24,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9182.66,7346.12,72892002.0,Normal pregnancy (finding),47,,,,"Fundal height eval, Fetal heart auscult"
1140,1118,Prenatal visit including blood work and DTaP vaccination at 47.,1976-03-03,Charlie254,2023-06-21,2023-06-21,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,10621.42,8497.13,72892002.0,Normal pregnancy (finding),47,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
1141,1119,Follow-up prenatal visit assessing fetal status at 47.,1976-03-03,Charlie254,2023-07-19,2023-07-19,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11480.91,9184.72,72892002.0,Normal pregnancy (finding),47,,,,"Fundal height eval, Fetal heart auscult"
1142,1120,Prenatal screening for Group B Streptococcus and fetal assessment at 47.,1976-03-03,Charlie254,2023-08-16,2023-08-16,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,18744.14,14995.31,72892002.0,Normal pregnancy (finding),47,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
1143,1121,Continued prenatal care monitoring fetal growth and wellbeing at 47.,1976-03-03,Charlie254,2023-08-30,2023-08-30,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9238.37,7390.69,72892002.0,Normal pregnancy (finding),47,,,,"Fundal height eval, Fetal heart auscult"
1144,1129,Emergency obstetric admission with medical induction and delivery at 47.,1976-03-03,Charlie254,2023-09-06,2023-09-06,20,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,6874.57,5499.65,72892002.0,Normal pregnancy (finding),47,,,,"Med induction, Delivery"
1145,1130,Postnatal visit including physical exam and depression screening at 47.,1976-03-03,Charlie254,2023-10-18,2023-10-18,20,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,804.3,,,47,,,,"PE, Depression screen"
1146,1131,General exam at 48 including mental health screenings and med review.,1976-03-03,Charlie254,2024-03-27,2024-03-27,20,wellness,162673000,General examination of patient (procedure),136.8,1489.11,1004.89,,,48,"Height 165.0 cm, PainScore 2.0 {score}, Weight 80.1 kg, BMI 29.4 kg/m2, DBP 73.0 mm[Hg], SBP 100.0 mm[Hg], HR 77.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan",,,"Med rec, Sleep apnea assess, Health/social needs assess, Anxiety assess, Domestic abuse screen"
1147,1132,Prenatal initial visit at 48 confirming normal pregnancy with anemia diagnosis.,1976-03-03,Charlie254,2024-07-03,2024-07-03,20,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,50789.89,40631.9,72892002.0,Normal pregnancy (finding),48,,"Normal preg, Anemia",,"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"
1148,1144,Clinical encounter addressing anemia with peripheral smear interpretation and review of systems.,1976-03-03,Charlie254,2024-07-03,2024-07-03,20,ambulatory,185347001,Encounter for problem (procedure),85.55,1059.16,847.32,271737000.0,Anemia (disorder),48,"BloodHgb 11.8 g/dL, BloodHct 34.8 %, AutoWBCCount 9.4 10*3/uL, AutoRBCCount 4.1 10*6/uL, AutoMCV 83.5 fL, MCH 28.4 pg, MCHC 34.1 g/dL, RDWv 41.1 fL, PlateletCount 206.3 10*3/uL, PDW 180.3 fL, MPV 11.6 fL",,,"Periph smear interp, ROS, Med rec, Brief exam"
1149,1145,Prenatal visit with fetal monitoring and genetic testing at 48.,1976-03-03,Charlie254,2024-07-31,2024-07-31,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11575.59,9260.47,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
1150,1149,Detailed prenatal screening with anatomy scan and AFP assessment.,1976-03-03,Charlie254,2024-08-28,2024-08-28,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,10253.12,8202.49,72892002.0,Normal pregnancy (finding),48,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
1151,1150,Received rehabilitation at 48.,1976-03-03,Charlie254,2024-09-14,2024-09-14,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),48,,,,Rehab
1152,1151,Prenatal visit monitoring fetal growth and heart rate at 48.,1976-03-03,Charlie254,2024-09-25,2024-09-25,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6862.83,5490.26,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult"
1153,1153,Rehab care continued during pregnancy at 48.,1976-03-03,Charlie254,2024-10-14,2024-10-14,20,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,413.56,6525002.0,Dependent drug abuse (disorder),48,,,,Rehab
1154,1154,Routine prenatal visit at 48.,1976-03-03,Charlie254,2024-10-23,2024-10-23,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8604.14,6883.31,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult"
1155,1155,Prenatal visit including blood work and vaccination.,1976-03-03,Charlie254,2024-11-20,2024-11-20,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11833.98,9467.18,72892002.0,Normal pregnancy (finding),48,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
1156,1156,Continuing prenatal care at 48.,1976-03-03,Charlie254,2024-12-18,2024-12-18,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,13776.26,11021.0,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult"
1157,1157,Group B Streptococcus screening and fetal assessment.,1976-03-03,Charlie254,2025-01-15,2025-01-15,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8442.76,6754.2,72892002.0,Normal pregnancy (finding),48,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
1158,1158,Ongoing prenatal fetal monitoring.,1976-03-03,Charlie254,2025-01-29,2025-01-29,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4665.96,3732.76,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult"
1159,1159,Regular prenatal care visit.,1976-03-03,Charlie254,2025-02-05,2025-02-05,20,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11530.25,9224.2,72892002.0,Normal pregnancy (finding),48,,,,"Fundal height eval, Fetal heart auscult"
1160,1160,Emergency obstetric admission with induction and delivery completed at 48.,1976-03-03,Charlie254,2025-02-12,2025-02-12,20,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,6708.15,5366.52,72892002.0,Normal pregnancy (finding),48,,,,"Med induction, Delivery"
1161,1161,Encounter at age 7 for viral sinusitis treated with Amoxicillin/Clavulanate 250/125mg tablet.,2008-01-19,Suzanna632,2015-03-14,2015-03-14,21,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),7,,Viral sinusitis,Amox/Clav 250/125mg tab,
1162,1162,"Well child visit at age 7, scheduled medication review.",2008-01-19,Suzanna632,2016-01-17,2016-01-17,21,wellness,410620009,Well child visit (procedure),136.8,272.8,0.0,,,7,"Height 138.1 cm, PainScore 3.0 {score}, Weight 30.2 kg, BMI 15.9 kg/m2, BMIPercentile 51.4 %, DBP 88.0 mm[Hg], SBP 103.0 mm[Hg], HR 84.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
1163,1163,"Medications reconciled during check-up at age 9.""",2008-01-19,Suzanna632,2017-01-22,2017-01-22,21,wellness,410620009,Well child visit (procedure),136.8,605.12,0.0,,,9,"Height 144.5 cm, PainScore 3.0 {score}, Weight 36.3 kg, BMI 17.4 kg/m2, BMIPercentile 68.1 %, DBP 87.0 mm[Hg], SBP 108.0 mm[Hg], HR 93.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1164,1164,"Urgent care visit for gingivitis and medication review at age 9, dental referral advised.",2008-01-19,Suzanna632,2017-06-25,2017-06-25,21,urgentcare,702927004,Urgent care clinic (environment),142.58,573.98,0.0,,,9,"Height 146.9 cm, PainScore 2.0 {score}, Weight 38.8 kg, BMI 18.0 kg/m2, BMIPercentile 72.0 %, DBP 95.0 mm[Hg], SBP 106.0 mm[Hg], HR 71.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,Dental referral
1165,1165,Urgent care clinic encounter at age 9 with no additional notes.,2008-01-19,Suzanna632,2017-07-02,2017-07-02,21,urgentcare,702927004,Urgent care clinic (environment),142.58,142.58,0.0,,,9,,,,
1166,1166,"Dental referral provided during check-up visit at age 9.""",2008-01-19,Suzanna632,2017-07-09,2017-07-09,21,outpatient,185349003,Encounter for check up (procedure),85.55,516.95,0.0,,,9,"Height 146.9 cm, PainScore 4.0 {score}, Weight 38.8 kg, BMI 18.0 kg/m2, BMIPercentile 72.0 %, DBP 88.0 mm[Hg], SBP 103.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Dental referral
1167,1167,Comprehensive dental checkup and treatments including fluoride application and scaling; NaF 2.72% oral gel prescribed at age 9.,2008-01-19,Suzanna632,2017-07-16,2017-07-16,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),9,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1168,1168,"Encounter for acute viral pharyngitis at age 9, throat culture performed.",2008-01-19,Suzanna632,2017-07-23,2017-07-23,21,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,0.0,195662009.0,Acute viral pharyngitis (disorder),9,BodyTemp 37.6 Cel,Acute viral pharyngitis,,Throat culture
1169,1169,"Well child visit at age 10 with medication reconciliation, dental referral, and gingivitis diagnosis.",2008-01-19,Suzanna632,2018-01-28,2018-01-28,21,wellness,410620009,Well child visit (procedure),136.8,1349.57,0.0,,,10,"Height 150.4 cm, PainScore 0.0 {score}, Weight 43.8 kg, BMI 19.4 kg/m2, BMIPercentile 81.1 %, DBP 86.0 mm[Hg], SBP 112.0 mm[Hg], HR 70.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Dental referral"
1170,1170,Dental checkup with bitewing x-rays and fluoride application; NaF 2.72% oral gel prescribed at age 10.,2008-01-19,Suzanna632,2018-02-04,2018-02-04,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,66383009.0,Gingivitis (disorder),10,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1171,1171,"ER admission at age 11 for neck injury (whiplash), treated with APAP 160mg chewable tablets.",2008-01-19,Suzanna632,2019-01-24,2019-01-24,21,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,90460009.0,Injury of neck (disorder),11,,"Neck injury, Whiplash",APAP 160mg chew tab,
1172,1172,"Hospital admission at age 11 requiring extensive nursing care, therapy and discharge planning.",2008-01-19,Suzanna632,2019-01-24,2019-02-02,21,snf,32485007,Hospital admission (procedure),110.92,8307.52,1443.34,25675004.0,Patient transfer to skilled nursing facility (procedure),11,,,,"H&P, Initial assess, Indiv care plan, Nursing care, Nursing care, Ancillary services, Nursing care, Ancillary services, Nursing care, Nursing care, Nursing care, Speech therapy, Nursing care, Nursing care, OT, Nursing care, Ancillary services, Pre-d/c assess, Hosp d/c"
1173,1173,Well child visit at age 11 noting gingivitis; dental referral provided and medication review pending.,2008-01-19,Suzanna632,2019-02-10,2019-02-10,21,wellness,410620009,Well child visit (procedure),136.8,1186.78,712.07,,,11,"Height 157.2 cm, PainScore 1.0 {score}, Weight 52.2 kg, BMI 21.1 kg/m2, BMIPercentile 86.3 %, DBP 88.0 mm[Hg], SBP 106.0 mm[Hg], HR 61.0 /min, RR 13.0 /min, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 15.7 g/dL, AutoHct 45.5 %, AutoMCV 90.1 fL, MCH 31.5 pg, MCHC 35.7 g/dL, RDWv 45.0 fL, PlateletCount 268.9 10*3/uL, PDW 500.2 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,Dental referral
1174,1174,Dental checkup at age 11 identified dental caries; composite restoration performed.,2008-01-19,Suzanna632,2019-02-17,2019-02-17,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,1863.21,66383009.0,Gingivitis (disorder),11,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental composite post-fx, Oral health ed"
1175,1175,Comprehensive well child visit at age 12 screening for mental health and substance use; noted risk behaviors and homelessness.,2008-01-19,Suzanna632,2020-02-16,2020-02-16,21,wellness,410620009,Well child visit (procedure),136.8,1055.9,0.0,,,12,"Height 164.2 cm, PainScore 1.0 {score}, Weight 57.5 kg, BMI 21.3 kg/m2, BMIPercentile 82.8 %, DBP 87.0 mm[Hg], SBP 105.0 mm[Hg], HR 92.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Risk behaviors, Homeless",,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed"
1176,1176,"Age 13 well child visit with mental health screening and dental referral, ongoing medication review; gingivitis noted.",2008-01-19,Suzanna632,2021-02-21,2021-02-21,21,wellness,410620009,Well child visit (procedure),136.8,1595.59,110.07,,,13,"Height 169.6 cm, PainScore 2.0 {score}, Weight 57.9 kg, BMI 20.1 kg/m2, BMIPercentile 66.3 %, DBP 91.0 mm[Hg], SBP 103.0 mm[Hg], HR 92.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Dental referral"
1177,1177,Evaluation at rest home setting for info gathering at age 13.,2008-01-19,Suzanna632,2021-02-28,2021-02-28,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1178,1178,"Comprehensive dental care at age 13 including surgery, desensitizing treatment, gingivectomy and postop care for gum disease.",2008-01-19,Suzanna632,2021-03-07,2021-03-07,21,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),13,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
1179,1179,Additional rest home evaluation for patient at age 13.,2008-01-19,Suzanna632,2021-03-30,2021-03-30,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,211.17,168.93,32911000.0,Homeless (finding),13,,,,Info gathering
1180,1180,"Urgent care visit at age 13 with mental health screening, medication reconciliation, and dental referral; medication review pending.",2008-01-19,Suzanna632,2021-04-18,2021-04-18,21,urgentcare,702927004,Urgent care clinic (environment),142.58,845.34,676.27,,,13,"Height 169.9 cm, PainScore 2.0 {score}, Weight 57.7 kg, BMI 20.0 kg/m2, BMIPercentile 64.4 %, DBP 86.0 mm[Hg], SBP 115.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
1181,1181,Check-up at age 13 with medication review noted as due.,2008-01-19,Suzanna632,2021-04-25,2021-04-25,21,outpatient,185349003,Encounter for check up (procedure),85.55,85.55,68.44,,,13,,Med review due,,
1182,1182,Visit for acute bronchitis at age 13 with chest x-ray and APAP 325mg treatment.,2008-01-19,Suzanna632,2021-05-02,2021-05-02,21,ambulatory,185345009,Encounter for symptom (procedure),85.55,3368.75,2695.0,10509002.0,Acute bronchitis (disorder),13,,Acute bronchitis,APAP 325mg tab,CXR
1183,1183,Routine dental checkup with fluoride application and oral health education at age 13.,2008-01-19,Suzanna632,2021-05-09,2021-05-09,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),13,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1184,1184,Further domiciliary care evaluations at age 13.,2008-01-19,Suzanna632,2021-05-16,2021-05-16,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1185,1185,Encounter for strep throat at age 13 treated with Penicillin VK 250mg tablets.,2008-01-19,Suzanna632,2021-05-20,2021-05-20,21,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,43878008.0,Streptococcal sore throat (disorder),13,BodyTemp 38.2 Cel,Strep throat,PCN VK 250mg tab,
1186,1186,Ongoing domiciliary evaluation at age 13.,2008-01-19,Suzanna632,2021-08-14,2021-08-14,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1187,1187,Continued rest home patient assessment at age 13.,2008-01-19,Suzanna632,2021-09-13,2021-09-13,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1188,1188,Additional domiciliary visit with info gathering.,2008-01-19,Suzanna632,2021-11-12,2021-11-12,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1189,1189,Further info gathering during domiciliary visit.,2008-01-19,Suzanna632,2021-12-12,2021-12-12,21,ambulatory,210098006,Domiciliary or rest home patient evaluation and management (procedure),142.58,202.97,162.37,32911000.0,Homeless (finding),13,,,,Info gathering
1190,1190,Well child visit at age 14 screening for anxiety and medication reconciliation.,2008-01-19,Suzanna632,2022-02-27,2022-02-27,21,wellness,410620009,Well child visit (procedure),136.8,1499.09,0.0,,,14,"Height 172.2 cm, PainScore 3.0 {score}, Weight 61.4 kg, BMI 20.7 kg/m2, BMIPercentile 65.8 %, DBP 88.0 mm[Hg], SBP 112.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Anxiety assess"
1191,1191,ER visit at age 14 for ankle sprain treated with APAP 325mg.,2008-01-19,Suzanna632,2022-03-28,2022-03-28,21,emergency,50849002,Emergency room admission (procedure),146.18,146.18,0.0,384709000.0,Sprain (morphologic abnormality),14,,"Sprain, Ankle sprain",APAP 325mg tab,
1192,1192,"Consultation for treatment at age 14, prescribed Yaz 28-day contraceptive pack.",2008-01-19,Suzanna632,2023-01-14,2023-01-14,21,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),14,,,Yaz 28d pack,
1193,1193,"Comprehensive well child visit at age 15 including mental health and substance use screening, dental referral; medication review pending.",2008-01-19,Suzanna632,2023-03-05,2023-03-05,21,wellness,410620009,Well child visit (procedure),136.8,919.9,0.0,,,15,"Height 173.4 cm, PainScore 1.0 {score}, Weight 63.4 kg, BMI 21.1 kg/m2, BMIPercentile 63.5 %, DBP 87.0 mm[Hg], SBP 109.0 mm[Hg], HR 88.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
1194,1194,Dental checkup at age 15 with fluoride treatment.,2008-01-19,Suzanna632,2023-03-19,2023-03-19,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),15,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1195,1195,Consultation involving subcutaneous contraceptive implant insertion with Etonogestrel 68mg at age 15.,2008-01-19,Suzanna632,2024-01-09,2024-01-09,21,outpatient,698314001,Consultation for treatment (procedure),142.58,15783.94,10816.58,389095005.0,Contraception care (regime/therapy),15,,,Etonogestrel 68mg implant,SC contraceptive insert
1196,1196,"Well child visit at age 16 with mental health and substance use evaluations, dental referral, medication review pending; gingivitis and risk behaviors noted.",2008-01-19,Suzanna632,2024-03-10,2024-03-10,21,wellness,410620009,Well child visit (procedure),136.8,914.78,0.0,,,16,"Height 174.0 cm, PainScore 2.0 {score}, Weight 62.8 kg, BMI 20.8 kg/m2, BMIPercentile 53.4 %, DBP 95.0 mm[Hg], SBP 113.0 mm[Hg], HR 80.0 /min, RR 16.0 /min, AutoWBCCount 8.7 10*3/uL, AutoRBCCount 5.4 10*6/uL, BloodHgb 14.0 g/dL, AutoHct 46.6 %, AutoMCV 86.8 fL, MCH 29.8 pg, MCHC 35.9 g/dL, RDWv 41.3 fL, PlateletCount 343.3 10*3/uL, PDW 202.0 fL, MPV 10.2 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Risk behaviors, Gingivitis",,"Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed, Dental referral"
1197,1197,Dental examination at age 16 including bitewing x-rays and oral health education.,2008-01-19,Suzanna632,2024-03-24,2024-03-24,21,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),16,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1198,1198,Consultation visit at age 16; prescribed Seasonique 91-day contraceptive pack.,2008-01-19,Suzanna632,2025-01-03,2025-01-03,21,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),16,,,Seasonique 91d pack,
1199,1199,Well child visit at age 17 focusing on mental health and substance use assessment with health risk education.,2008-01-19,Suzanna632,2025-03-16,2025-03-16,21,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,17,"Height 174.3 cm, PainScore 0.0 {score}, Weight 65.4 kg, BMI 21.5 kg/m2, BMIPercentile 57.1 %, DBP 87.0 mm[Hg], SBP 99.0 mm[Hg], HR 85.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed"
1200,1200,Patient seen for a well child visit at age 5. No procedures or medications reported. Medication review is due.,2008-10-13,Mitch821,2014-09-30,2014-09-30,22,wellness,410620009,Well child visit (procedure),136.8,778.78,0.0,,,5,,Med review due,,
1201,1201,"Well child visit at age 6 focused on medication reconciliation. No procedures, medications, or conditions noted.",2008-10-13,Mitch821,2015-10-06,2015-10-06,22,wellness,410620009,Well child visit (procedure),136.8,805.24,0.0,,,6,"Height 115.5 cm, PainScore 2.0 {score}, Weight 20.2 kg, BMI 15.1 kg/m2, BMIPercentile 38.9 %, DBP 97.0 mm[Hg], SBP 127.0 mm[Hg], HR 95.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1202,1202,"At age 7, well child visit included medication reconciliation. Medication review remains due. No other procedures reported.",2008-10-13,Mitch821,2016-10-11,2016-10-11,22,wellness,410620009,Well child visit (procedure),136.8,488.5,0.0,,,7,"Height 121.2 cm, PainScore 1.0 {score}, Weight 23.0 kg, BMI 15.7 kg/m2, BMIPercentile 47.4 %, DBP 97.0 mm[Hg], SBP 128.0 mm[Hg], HR 93.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1203,1203,"During the well child visit at age 9, medication reconciliation and a dental referral were completed. Medication review is still due.",2008-10-13,Mitch821,2017-10-17,2017-10-17,22,wellness,410620009,Well child visit (procedure),136.8,919.9,0.0,,,9,"Height 126.9 cm, PainScore 3.0 {score}, Weight 28.7 kg, BMI 17.8 kg/m2, BMIPercentile 77.4 %, DBP 90.0 mm[Hg], SBP 119.0 mm[Hg], HR 63.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Med rec, Dental referral"
1204,1204,"At age 9, patient underwent comprehensive dental procedures including scaling, bitewing x-rays, surgery, and postoperative care for a tooth infection. Treated with 2.72% NaF oral gel. Extensive dental care and oral health education provided.",2008-10-13,Mitch821,2017-10-24,2017-10-24,22,ambulatory,185349003,Encounter for check up (procedure),85.55,5262.35,3883.35,103697008.0,Patient referral for dental care (procedure),9,,Tooth infxn,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Dental surgery, Dental desensitizing, Simple tooth ext, Dental postop care, Gingival exam, Dental fluoride, Oral health ed"
1205,1205,Well child visit at age 10 included medication reconciliation and a dental referral. Conditions noted: gingivitis and medication review due.,2008-10-13,Mitch821,2018-10-23,2018-10-23,22,wellness,410620009,Well child visit (procedure),136.8,919.9,0.0,,,10,"Height 131.5 cm, PainScore 0.0 {score}, Weight 33.7 kg, BMI 19.5 kg/m2, BMIPercentile 85.7 %, DBP 91.0 mm[Hg], SBP 122.0 mm[Hg], HR 64.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Med rec, Dental referral"
1206,1206,"Dental checkup at age 10 with scaling, gingival exam, and oral health education provided. No medications or specific conditions documented.",2008-10-13,Mitch821,2018-10-30,2018-10-30,22,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,66383009.0,Gingivitis (disorder),10,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1207,1207,"At 11 years old, well child visit included a dental referral and medication review was noted as due.",2008-10-13,Mitch821,2019-10-29,2019-10-29,22,wellness,410620009,Well child visit (procedure),136.8,1186.78,0.0,,,11,"Height 135.9 cm, PainScore 3.0 {score}, Weight 37.7 kg, BMI 20.4 kg/m2, BMIPercentile 86.3 %, DBP 92.0 mm[Hg], SBP 123.0 mm[Hg], HR 64.0 /min, RR 15.0 /min, AutoWBCCount 7.6 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.1 g/dL, AutoHct 45.8 %, AutoMCV 87.9 fL, MCH 32.2 pg, MCHC 34.9 g/dL, RDWv 45.7 fL, PlateletCount 330.3 10*3/uL, PDW 314.9 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Dental referral
1208,1208,"Dental checkup at age 11 included fluoride treatment, scaling, gingival exam, and oral health education. Treated with 2.72% NaF oral gel.",2008-10-13,Mitch821,2019-11-05,2019-11-05,22,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),11,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1209,1209,"At age 12, well child visit included mental health screenings (anxiety, depression, PHQ-9), substance use assessments (CRAFFT), anticipatory guidance, and a dental referral.",2008-10-13,Mitch821,2020-11-03,2020-11-03,22,wellness,410620009,Well child visit (procedure),136.8,840.2,0.0,,,12,"Height 141.0 cm, PainScore 4.0 {score}, Weight 41.5 kg, BMI 20.9 kg/m2, BMIPercentile 84.0 %, DBP 95.0 mm[Hg], SBP 122.0 mm[Hg], HR 97.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,"Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
1210,1210,"Dental checkup at 12 years with scaling, bitewing x-rays, gingival exam, fluoride treatment and oral health education. Treated with 2.72% NaF oral gel.",2008-10-13,Mitch821,2020-11-17,2020-11-17,22,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,4.82,103697008.0,Patient referral for dental care (procedure),12,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1211,1211,"At age 13, well child visit included medication reconciliation, anxiety and substance use assessments utilizing CRAFFT, and health risk education. Risk behaviors were identified.",2008-10-13,Mitch821,2021-11-09,2021-11-09,22,wellness,410620009,Well child visit (procedure),136.8,1400.04,0.0,,,13,"Height 147.6 cm, PainScore 2.0 {score}, Weight 44.2 kg, BMI 20.3 kg/m2, BMIPercentile 73.7 %, DBP 91.0 mm[Hg], SBP 119.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Risk behaviors,,"Med rec, Anxiety assess, Substance use assess, CRAFFT screen, Health risk ed"
1212,1212,"Age 14 visit included depression screening, PHQ-9, substance use assessment (CRAFFT), anticipatory guidance, and dental referral. Medication review was due.",2008-10-13,Mitch821,2022-11-15,2022-11-15,22,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,14,"Height 155.5 cm, PainScore 4.0 {score}, Weight 50.0 kg, BMI 20.7 kg/m2, BMIPercentile 69.4 %, DBP 93.0 mm[Hg], SBP 125.0 mm[Hg], HR 92.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
1213,1213,"At 14 years, patient underwent dental surgery including gingivectomy and desensitizing treatments for gum disease. Postoperative care and oral health education were provided.",2008-10-13,Mitch821,2022-11-29,2022-11-29,22,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,422.62,103697008.0,Patient referral for dental care (procedure),14,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
1214,1214,"Well child visit at 15 included mental health screenings for anxiety and depression with PHQ-9, and a dental referral. Gingivitis was noted.",2008-10-13,Mitch821,2023-11-21,2023-11-21,22,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,15,"Height 161.5 cm, PainScore 0.0 {score}, Weight 55.9 kg, BMI 21.5 kg/m2, BMIPercentile 69.5 %, DBP 95.0 mm[Hg], SBP 130.0 mm[Hg], HR 65.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Anxiety assess, Depression screen, PHQ-9 screen, Dental referral"
1215,1215,"Dental checkup with scaling, gingival exam, and oral health education provided at age 15.",2008-10-13,Mitch821,2023-12-05,2023-12-05,22,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,66383009.0,Gingivitis (disorder),15,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1216,1216,"Well child visit at 16 included mental health and substance use assessments with CRAFFT, anticipatory guidance, and dental referral. Gingivitis was noted.",2008-10-13,Mitch821,2024-11-26,2024-11-26,22,wellness,410620009,Well child visit (procedure),136.8,914.78,0.0,,,16,"Height 165.2 cm, PainScore 4.0 {score}, Weight 58.2 kg, BMI 21.3 kg/m2, BMIPercentile 59.5 %, DBP 97.0 mm[Hg], SBP 125.0 mm[Hg], HR 69.0 /min, RR 15.0 /min, AutoWBCCount 10.2 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 13.1 g/dL, AutoHct 40.1 %, AutoMCV 93.2 fL, MCH 28.7 pg, MCHC 33.2 g/dL, RDWv 40.4 fL, PlateletCount 245.3 10*3/uL, PDW 493.4 fL, MPV 10.4 fL, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral"
1217,1217,"Encounter at 16 years included dental consultation, scaling, bitewing x-rays, gingival exam, and oral health education.",2008-10-13,Mitch821,2024-12-10,2024-12-10,22,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),16,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1218,1218,"Patient seen for problem encounter at age 3 with no documented procedures, medications, or conditions.",1978-07-09,Roselle682,1979-10-18,1979-10-18,23,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,256355007.0,Glycine max (substance),3,,,,
1219,1219,"At age 3, patient treated with Astemizole 10mg for an unspecified problem during the encounter.",1978-07-09,Roselle682,1979-11-03,1979-11-03,23,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,0.0,419199007.0,Allergy to substance (finding),3,,,Astemizole 10mg tab,
1220,1220,"Well child visit performed at age 17 with no additional procedures, medications, or conditions noted.",1978-07-09,Roselle682,1995-08-27,1995-08-27,23,wellness,410620009,Well child visit (procedure),136.8,919.9,0.0,,,17,,,,
1221,1221,General exam at age 18; patient noted to be involved in higher education.,1978-07-09,Roselle682,1996-09-01,1996-09-01,23,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,Higher ed,,
1222,1222,"At age 22, patient evaluated with documented hypertension and obesity (BMI >30). No medications or procedures reported.",1978-07-09,Roselle682,2000-09-10,2000-09-10,23,wellness,162673000,General examination of patient (procedure),136.8,1274.18,0.0,,,22,,"HTN, Obesity BMI>30",,
1223,1224,Patient at age 24 diagnosed with prediabetes during general examination.,1978-07-09,Roselle682,2002-09-22,2002-09-22,23,wellness,162673000,General examination of patient (procedure),136.8,1244.15,1244.15,,,24,,Prediabetes,,
1224,1226,Admitted to surgical department at age 25 with a history of tubal surgery.,1978-07-09,Roselle682,2003-10-19,2003-10-20,23,inpatient,305408004,Admission to surgical department (procedure),146.18,3817.64,0.0,183996000.0,Sterilization requested (situation),25,,H/o tubal,,
1225,1227,General exam at age 26 revealing anemia; no procedures or medications listed.,1978-07-09,Roselle682,2004-10-03,2004-10-03,23,wellness,162673000,General examination of patient (procedure),136.8,1097.43,0.0,,,26,,Anemia,,
1226,1229,"At age 36, patient on Lisinopril and Amlodipine for conditions not specified but likely related to hypertension; employed full-time.",1978-07-09,Roselle682,2014-11-30,2014-11-30,23,wellness,162673000,General examination of patient (procedure),136.8,1075.86,0.0,,,36,,Full-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1227,1232,Presented to ER at age 36 for bone and ankle fractures; treated with Ibuprofen 200mg.,1978-07-09,Roselle682,2015-02-18,2015-02-18,23,emergency,50849002,Emergency room admission (procedure),146.18,1008.98,0.0,125605004.0,Fracture of bone (disorder),36,,"Bone fx, Ankle fx",Ibuprofen 200mg tab,
1228,1235,Routine checkup at age 36 without additional data.,1978-07-09,Roselle682,2015-05-11,2015-05-11,23,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,0.0,16114001.0,Fracture of ankle (disorder),36,,,,
1229,1236,"At 37, patient had medication reconciliation, health/social needs assessment, depression screening including PHQ-9, dental referral; on Lisinopril and Amlodipine, with stress noted and medication review due.",1978-07-09,Roselle682,2015-12-06,2015-12-06,23,wellness,162673000,General examination of patient (procedure),136.8,1075.86,0.0,,,37,"HbA1c 5.9 %, Height 165.5 cm, PainScore 1.0 {score}, Weight 99.5 kg, BMI 36.3 kg/m2, DBP 84.0 mm[Hg], SBP 122.0 mm[Hg], HR 75.0 /min, RR 13.0 /min, BloodGlucose 74.7 mg/dL, BloodBUN 17.9 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 140.8 mmol/L, BloodK 4.5 mmol/L, BloodChloride 105.9 mmol/L, TotalCO2Blood 23.9 mmol/L, AutoWBCCount 5.3 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 14.4 g/dL, AutoHct 35.5 %, AutoMCV 87.7 fL, MCH 32.5 pg, MCHC 33.4 g/dL, RDWv 39.7 fL, PlateletCount 282.7 10*3/uL, PDW 276.1 fL, MPV 10.9 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Dental referral"
1230,1238,Dental checkup with consult and cleaning procedures.,1978-07-09,Roselle682,2015-12-20,2015-12-20,23,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),37,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1231,1243,Patient presented with rotator cuff injury at age 37.,1978-07-09,Roselle682,2016-03-10,2016-03-10,23,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,307731004.0,Injury of tendon of the rotator cuff of shoulder (disorder),37,,Rotator cuff injury,,
1232,1245,General checkup at age 37.,1978-07-09,Roselle682,2016-04-22,2016-04-22,23,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,0.0,307731004.0,Injury of tendon of the rotator cuff of shoulder (disorder),37,,,,
1233,1247,"At 38, mental health and substance use assessments done, dental referral provided; on antihypertensives with medication review due.",1978-07-09,Roselle682,2016-12-11,2016-12-11,23,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,38,"HbA1c 5.8 %, Height 165.5 cm, PainScore 1.0 {score}, Weight 93.3 kg, BMI 34.1 kg/m2, DBP 87.0 mm[Hg], SBP 124.0 mm[Hg], HR 78.0 /min, RR 13.0 /min, BloodGlucose 81.5 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 10.2 mg/dL, BloodNa 138.0 mmol/L, BloodK 4.8 mmol/L, BloodChloride 104.5 mmol/L, TotalCO2Blood 27.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1234,1254,Comprehensive dental care visit at age 38.,1978-07-09,Roselle682,2016-12-25,2016-12-25,23,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),38,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1235,1259,"At 38, patient treated with Amoxicillin/Clavulanate for viral sinusitis and acute cystitis.",1978-07-09,Roselle682,2017-05-02,2017-05-02,23,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),38,,"Viral sinusitis, Acute cystitis",Amox/Clav 250/125mg tab,
1236,1260,"Evaluated for symptoms at 38 with history, physical exam, pregnancy and urine testing; treated with Cipro antibiotic.",1978-07-09,Roselle682,2017-06-05,2017-06-05,23,ambulatory,185345009,Encounter for symptom (procedure),85.55,8790.24,4106.13,307426000.0,Acute infective cystitis (disorder),38,"PregnancyTest Negative (qualifier value) nan, UrineGlucoseMass 3.8 mg/dL, UrineKetonesPresence Urine ketones not detected (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 6.3 mg/dL, UrineNitrite Nitrite detected in urine (finding) {nominal}, UrineHgb Urine blood test = + (finding) {nominal}, LeukEsterase Urine leukocyte test one plus (finding) {nominal}, EpithelialCells 3.6 /[HPF], Casts Urine microscopy: no casts (finding) {nominal}, MucusThreads Mucus in urine (finding) {nominal}, Bacteria Finding of presence of bacteria (finding) {nominal}, UrineBacteria Greater than 100 000 colony forming units per mL Klebsiella pneumoniae nan",,Cipro 250mg tab,"History, S/S disc, Limited H&P, Evaluation, Preg test, Urine collection, UA w/reflex, Abx therapy"
1237,1261,"At 39, comprehensive medication and mental health assessments completed; continues Lisinopril and Amlodipine.",1978-07-09,Roselle682,2017-12-17,2017-12-17,23,wellness,162673000,General examination of patient (procedure),136.8,1716.16,0.0,,,39,"HbA1c 5.8 %, Height 165.5 cm, PainScore 1.0 {score}, Weight 95.1 kg, BMI 34.7 kg/m2, DBP 83.0 mm[Hg], SBP 123.0 mm[Hg], HR 72.0 /min, RR 13.0 /min, BloodGlucose 90.4 mg/dL, BloodBUN 7.1 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 141.3 mmol/L, BloodK 3.8 mmol/L, BloodChloride 108.6 mmol/L, TotalCO2Blood 20.4 mmol/L, TotalCholesterol 192.5 mg/dL, HDL 54.8 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1238,1264,"Similar assessments repeated at 40, with medication review due and stress documented.",1978-07-09,Roselle682,2018-12-23,2018-12-23,23,wellness,162673000,General examination of patient (procedure),136.8,1149.66,0.0,,,40,"HbA1c 5.9 %, Height 165.5 cm, PainScore 1.0 {score}, Weight 96.9 kg, BMI 35.4 kg/m2, DBP 91.0 mm[Hg], SBP 135.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, BloodGlucose 96.4 mg/dL, BloodBUN 18.9 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 140.0 mmol/L, BloodK 3.7 mmol/L, BloodChloride 103.7 mmol/L, TotalCO2Blood 23.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1239,1268,"At 41, patient underwent medication reconciliation, psychosocial and substance assessments; medication review still pending.",1978-07-09,Roselle682,2019-12-29,2019-12-29,23,wellness,162673000,General examination of patient (procedure),136.8,1273.28,0.0,,,41,"HbA1c 5.9 %, Height 165.5 cm, PainScore 1.0 {score}, Weight 98.7 kg, BMI 36.0 kg/m2, DBP 92.0 mm[Hg], SBP 134.0 mm[Hg], HR 66.0 /min, RR 12.0 /min, BloodGlucose 73.9 mg/dL, BloodBUN 13.2 mg/dL, BloodCreatinine 1.8 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 141.0 mmol/L, BloodK 4.0 mmol/L, BloodChloride 101.1 mmol/L, TotalCO2Blood 22.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1240,1271,"Checkup at 42 included screenings for domestic abuse, depression, substance use, dental referral; on antihypertensives, with medication review due.",1978-07-09,Roselle682,2020-10-04,2020-10-04,23,outpatient,185349003,Encounter for check up (procedure),85.55,1041.26,0.0,,,42,"HbA1c 5.9 %, Height 165.5 cm, PainScore 3.0 {score}, Weight 100.1 kg, BMI 36.5 kg/m2, DBP 84.0 mm[Hg], SBP 125.0 mm[Hg], HR 85.0 /min, RR 15.0 /min, BloodGlucose 94.2 mg/dL, BloodBUN 10.7 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.5 mmol/L, BloodK 3.8 mmol/L, BloodChloride 104.5 mmol/L, TotalCO2Blood 25.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1241,1273,Presenting viral sinusitis at 42.,1978-07-09,Roselle682,2020-10-11,2020-10-11,23,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),42,,Viral sinusitis,,
1242,1275,Received comprehensive dental care and fluoride treatment; evaluated to rule out COVID-19 at age 42.,1978-07-09,Roselle682,2020-10-18,2020-10-18,23,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),42,,R/O COVID,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1243,1282,"Presenting symptoms consistent with COVID-19 infection including cough, fatigue, diarrhea, chills, fever, and loss of taste.",1978-07-09,Roselle682,2020-11-01,2020-11-01,23,ambulatory,185345009,Encounter for symptom (procedure),85.55,236.31,0.0,840544004.0,Suspected disease caused by Severe acute respiratory coronavirus 2 (situation),42,"BodyTemp 40.3 Cel, RR 31.1 /min, HR 125.1 /min, SaO2 82.2 %, DBP 86.0 mm[Hg], SBP 132.0 mm[Hg], Weight 100.2 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, Diarrhea, Chills, Fever, Ageusia, COVID-19",,Face mask
1244,1283,"At 42, admitted to hospital for COVID-19 with pneumonia, hypoxemia, respiratory distress, and acute renal failure; treated with oxygen therapy, prone positioning, Enoxaparin anticoagulation, and acetaminophen.",1978-07-09,Roselle682,2020-11-01,2020-11-10,23,inpatient,1505002,Hospital admission for isolation (procedure),146.18,17020.9,9357.19,840539006.0,Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder),42,"BodyTemp 39.0 Cel, RR 25.5 /min, HR 164.7 /min, SaO2 86.8 %, DBP 89.0 mm[Hg], SBP 124.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.1 10*3/uL, AutoRBCCount 4.4 10*6/uL, BloodHgb 12.2 g/dL, AutoHct 38.9 %, AutoMCV 83.4 fL, MCH 30.5 pg, MCHC 35.5 g/dL, RDW 13.8 %, PlateletCount 133.2 10*3/uL, NeutrophilPercent 44.6 %, LymphPercent 21.8 %, MonocytePercent 11.3 %, EosinophilPercent 5.7 %, BasophilPercent 2.6 %, NeutrophilCount 2.1 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.3 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 7.8 mL/min, SerumProtein 6.9 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 11.6 mg/dL, AlkPhosActivity 67.1 U/L, ALT 36.4 U/L, AST 10.4 U/L, ArterialPH 7.0 [pH], PCO2Arterial 38.5 mm[Hg], PaO2 40.2 mm[Hg], ArterialBicarb 22.5 mmol/L, SaO2 80.0 %, FiO2 42.8 %, DDimer 0.2 ug/mL, Ferritin 424.1 ug/L, hsTnI 1.8 pg/mL, LDH 211.2 U/L, CK 32.4 U/L, CRP 9.6 mg/L, PT 10.6 s, INR 1.4 {INR}, PCT 0.2 ng/mL, BodyTemp 40.7 Cel, RR 23.4 /min, HR 100.2 /min, SaO2 82.2 %, DBP 83.0 mm[Hg], SBP 132.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.0 10*3/uL, AutoRBCCount 5.7 10*6/uL, BloodHgb 11.3 g/dL, AutoHct 43.4 %, AutoMCV 87.7 fL, MCH 32.5 pg, MCHC 34.9 g/dL, RDW 12.8 %, PlateletCount 114.8 10*3/uL, NeutrophilPercent 20.3 %, LymphPercent 12.8 %, MonocytePercent 13.0 %, EosinophilPercent 3.3 %, BasophilPercent 3.2 %, NeutrophilCount 2.6 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.1 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.6 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 10.4 mL/min, SerumProtein 5.9 g/dL, AlbuminMass 3.6 g/dL, TotalBilirubin 7.9 mg/dL, AlkPhosActivity 96.5 U/L, ALT 20.2 U/L, AST 16.2 U/L, ArterialPH 7.0 [pH], PCO2Arterial 42.0 mm[Hg], PaO2 57.2 mm[Hg], ArterialBicarb 22.8 mmol/L, SaO2 77.2 %, FiO2 83.0 %, BodyTemp 40.9 Cel, RR 36.6 /min, HR 63.7 /min, SaO2 78.5 %, DBP 92.0 mm[Hg], SBP 129.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 4.0 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 13.6 g/dL, AutoHct 45.4 %, AutoMCV 94.2 fL, MCH 31.0 pg, MCHC 33.6 g/dL, RDW 15.4 %, PlateletCount 141.6 10*3/uL, NeutrophilPercent 10.8 %, LymphPercent 14.5 %, MonocytePercent 13.3 %, EosinophilPercent 4.5 %, BasophilPercent 4.0 %, NeutrophilCount 3.7 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 0.9 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 12.9 mL/min, SerumProtein 7.6 g/dL, AlbuminMass 5.0 g/dL, TotalBilirubin 10.3 mg/dL, AlkPhosActivity 50.9 U/L, ALT 24.9 U/L, AST 39.3 U/L, ArterialPH 7.1 [pH], PCO2Arterial 41.8 mm[Hg], PaO2 53.6 mm[Hg], ArterialBicarb 25.4 mmol/L, SaO2 77.9 %, FiO2 47.9 %, DDimer 0.4 ug/mL, Ferritin 472.8 ug/L, hsTnI 1.8 pg/mL, LDH 216.7 U/L, CK 15.9 U/L, CRP 11.6 mg/L, PT 10.8 s, INR 1.8 {INR}, PCT 0.1 ng/mL, BodyTemp 41.7 Cel, RR 21.5 /min, HR 56.6 /min, SaO2 80.1 %, DBP 83.0 mm[Hg], SBP 132.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.9 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 12.3 g/dL, AutoHct 41.8 %, AutoMCV 95.9 fL, MCH 32.2 pg, MCHC 34.1 g/dL, RDW 14.6 %, PlateletCount 125.3 10*3/uL, NeutrophilPercent 10.7 %, LymphPercent 23.0 %, MonocytePercent 12.2 %, EosinophilPercent 4.2 %, BasophilPercent 3.0 %, NeutrophilCount 2.4 10*3/uL, LymphCount 1.1 10*3/uL, MonocyteCount 0.7 10*3/uL, EosinophilCount 0.4 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 12.1 mL/min, SerumProtein 6.2 g/dL, AlbuminMass 4.2 g/dL, TotalBilirubin 12.4 mg/dL, AlkPhosActivity 114.4 U/L, ALT 41.4 U/L, AST 15.2 U/L, ArterialPH 7.0 [pH], PCO2Arterial 42.2 mm[Hg], PaO2 54.9 mm[Hg], ArterialBicarb 22.8 mmol/L, SaO2 88.8 %, FiO2 74.0 %, BodyTemp 40.4 Cel, RR 33.4 /min, HR 57.9 /min, SaO2 87.1 %, DBP 86.0 mm[Hg], SBP 124.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.9 10*3/uL, AutoRBCCount 5.6 10*6/uL, BloodHgb 12.3 g/dL, AutoHct 43.3 %, AutoMCV 91.4 fL, MCH 30.7 pg, MCHC 35.5 g/dL, RDW 14.1 %, PlateletCount 122.5 10*3/uL, NeutrophilPercent 37.6 %, LymphPercent 21.9 %, MonocytePercent 5.1 %, EosinophilPercent 4.3 %, BasophilPercent 3.7 %, NeutrophilCount 2.5 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 0.9 10*3/uL, EosinophilCount 0.3 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 8.6 mL/min, SerumProtein 7.5 g/dL, AlbuminMass 5.4 g/dL, TotalBilirubin 10.1 mg/dL, AlkPhosActivity 41.2 U/L, ALT 40.0 U/L, AST 6.9 U/L, ArterialPH 7.0 [pH], PCO2Arterial 35.6 mm[Hg], PaO2 51.2 mm[Hg], ArterialBicarb 25.1 mmol/L, SaO2 88.2 %, FiO2 79.0 %, DDimer 0.3 ug/mL, Ferritin 368.5 ug/L, hsTnI 2.0 pg/mL, LDH 243.2 U/L, CK 30.8 U/L, CRP 10.1 mg/L, PT 11.4 s, INR 2.2 {INR}, PCT 0.0 ng/mL, BodyTemp 38.4 Cel, RR 26.9 /min, HR 133.3 /min, SaO2 82.5 %, DBP 84.0 mm[Hg], SBP 127.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 13.7 g/dL, AutoHct 43.9 %, AutoMCV 85.9 fL, MCH 28.4 pg, MCHC 33.3 g/dL, RDW 13.4 %, PlateletCount 117.3 10*3/uL, NeutrophilPercent 32.1 %, LymphPercent 7.1 %, MonocytePercent 11.3 %, EosinophilPercent 4.3 %, BasophilPercent 2.9 %, NeutrophilCount 3.6 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.0 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.2 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.7 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 11.8 mL/min, SerumProtein 5.9 g/dL, AlbuminMass 5.4 g/dL, TotalBilirubin 6.3 mg/dL, AlkPhosActivity 56.5 U/L, ALT 39.2 U/L, AST 6.2 U/L, ArterialPH 7.2 [pH], PCO2Arterial 35.0 mm[Hg], PaO2 51.8 mm[Hg], ArterialBicarb 24.9 mmol/L, SaO2 87.9 %, FiO2 47.2 %, BodyTemp 37.8 Cel, RR 22.1 /min, HR 88.6 /min, SaO2 75.3 %, DBP 85.0 mm[Hg], SBP 124.0 mm[Hg], Weight 100.2 kg, AutoWBCCount 3.3 10*3/uL, AutoRBCCount 5.0 10*6/uL, BloodHgb 12.0 g/dL, AutoHct 39.8 %, AutoMCV 82.6 fL, MCH 28.3 pg, MCHC 35.1 g/dL, RDW 15.0 %, PlateletCount 106.0 10*3/uL, NeutrophilPercent 27.9 %, LymphPercent 16.8 %, MonocytePercent 6.9 %, EosinophilPercent 5.1 %, BasophilPercent 3.5 %, NeutrophilCount 1.5 10*3/uL, LymphCount 0.9 10*3/uL, MonocyteCount 1.3 10*3/uL, EosinophilCount 0.2 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 88.0 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 2.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 137.4 mmol/L, SerumK 3.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 6.2 mL/min, SerumProtein 6.0 g/dL, AlbuminMass 4.0 g/dL, TotalBilirubin 12.9 mg/dL, AlkPhosActivity 110.0 U/L, ALT 11.1 U/L, AST 10.8 U/L, ArterialPH 7.3 [pH], PCO2Arterial 41.9 mm[Hg], PaO2 56.8 mm[Hg], ArterialBicarb 27.0 mmol/L, SaO2 83.7 %, FiO2 34.8 %, DDimer 0.6 ug/mL, Ferritin 514.9 ug/L, hsTnI 2.5 pg/mL, LDH 245.0 U/L, CK 48.3 U/L, CRP 9.3 mg/L, PT 12.4 s, INR 2.8 {INR}, PCT 0.0 ng/mL, BodyTemp 37.7 Cel, RR 38.5 /min, HR 55.6 /min, SaO2 81.1 %, DBP 88.0 mm[Hg], SBP 143.0 mm[Hg], Weight 100.1 kg, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 13.0 g/dL, AutoHct 38.0 %, AutoMCV 82.4 fL, MCH 32.4 pg, MCHC 35.4 g/dL, RDW 15.3 %, PlateletCount 130.7 10*3/uL, NeutrophilPercent 20.0 %, LymphPercent 10.3 %, MonocytePercent 13.0 %, EosinophilPercent 4.2 %, BasophilPercent 4.0 %, NeutrophilCount 2.1 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 0.9 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 81.3 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.0 mmol/L, SerumK 3.9 mmol/L, SerumChloride 103.6 mmol/L, TotalCO2Serum 24.2 mmol/L, MDRDGFR 13.6 mL/min, SerumProtein 5.8 g/dL, AlbuminMass 5.0 g/dL, TotalBilirubin 6.2 mg/dL, AlkPhosActivity 45.5 U/L, ALT 41.2 U/L, AST 8.3 U/L, ArterialPH 6.9 [pH], PCO2Arterial 40.6 mm[Hg], PaO2 47.9 mm[Hg], ArterialBicarb 23.5 mmol/L, SaO2 77.8 %, FiO2 83.8 %, BodyTemp 41.3 Cel, RR 32.3 /min, HR 55.5 /min, SaO2 85.0 %, DBP 85.0 mm[Hg], SBP 130.0 mm[Hg], Weight 100.1 kg, AutoWBCCount 4.0 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 12.5 g/dL, AutoHct 39.3 %, AutoMCV 80.7 fL, MCH 30.0 pg, MCHC 34.9 g/dL, RDW 15.2 %, PlateletCount 119.0 10*3/uL, NeutrophilPercent 19.5 %, LymphPercent 19.0 %, MonocytePercent 14.1 %, EosinophilPercent 4.3 %, BasophilPercent 3.1 %, NeutrophilCount 1.6 10*3/uL, LymphCount 0.9 10*3/uL, MonocyteCount 1.4 10*3/uL, EosinophilCount 0.6 10*3/uL, BasophilCount 0.3 10*3/uL, SerumGlucose 81.3 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.0 mmol/L, SerumK 3.9 mmol/L, SerumChloride 103.6 mmol/L, TotalCO2Serum 24.2 mmol/L, MDRDGFR 11.6 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 5.2 g/dL, TotalBilirubin 10.6 mg/dL, AlkPhosActivity 107.4 U/L, ALT 15.5 U/L, AST 19.3 U/L, ArterialPH 7.0 [pH], PCO2Arterial 44.1 mm[Hg], PaO2 48.5 mm[Hg], ArterialBicarb 26.3 mmol/L, SaO2 78.5 %, FiO2 56.2 %, DDimer 0.4 ug/mL, Ferritin 460.3 ug/L, hsTnI 3.1 pg/mL, LDH 226.1 U/L, CK 34.1 U/L, CRP 11.5 mg/L, PT 11.6 s, INR 2.8 {INR}, PCT 0.1 ng/mL, BodyTemp 42.2 Cel, RR 30.5 /min, HR 177.2 /min, SaO2 77.6 %, DBP 86.0 mm[Hg], SBP 122.0 mm[Hg], Weight 100.1 kg, AutoWBCCount 3.3 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 13.1 g/dL, AutoHct 44.8 %, AutoMCV 95.1 fL, MCH 29.9 pg, MCHC 32.5 g/dL, RDW 15.1 %, PlateletCount 131.0 10*3/uL, NeutrophilPercent 27.6 %, LymphPercent 11.3 %, MonocytePercent 13.8 %, EosinophilPercent 4.5 %, BasophilPercent 3.2 %, NeutrophilCount 3.1 10*3/uL, LymphCount 1.0 10*3/uL, MonocyteCount 1.3 10*3/uL, EosinophilCount 0.5 10*3/uL, BasophilCount 0.4 10*3/uL, SerumGlucose 81.3 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 2.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.0 mmol/L, SerumK 3.9 mmol/L, SerumChloride 103.6 mmol/L, TotalCO2Serum 24.2 mmol/L, MDRDGFR 6.6 mL/min, SerumProtein 5.6 g/dL, AlbuminMass 5.5 g/dL, TotalBilirubin 10.4 mg/dL, AlkPhosActivity 94.9 U/L, ALT 29.9 U/L, AST 8.8 U/L, ArterialPH 7.1 [pH], PCO2Arterial 37.1 mm[Hg], PaO2 53.1 mm[Hg], ArterialBicarb 24.7 mmol/L, SaO2 86.2 %, FiO2 88.1 %, BodyTemp 37.1 Cel, COVID19 Not detected (qualifier value) nan, BodyTemp 36.9 Cel, COVID19 Not detected (qualifier value) nan","PNA, Hypoxemia, Resp distress, ARF","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, 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","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"
1245,1315,"After discharge at 42, psychosocial assessments reveal medication review needed, unemployment, and limited social contacts.",1978-07-09,Roselle682,2021-01-03,2021-01-03,23,wellness,162673000,General examination of patient (procedure),136.8,798.74,798.74,,,42,"HbA1c 6.2 %, Height 165.5 cm, PainScore 3.0 {score}, Weight 99.0 kg, BMI 36.2 kg/m2, DBP 83.0 mm[Hg], SBP 124.0 mm[Hg], HR 100.0 /min, RR 13.0 /min, BloodGlucose 82.6 mg/dL, BloodBUN 8.6 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 136.9 mmol/L, BloodK 4.1 mmol/L, BloodChloride 105.4 mmol/L, TotalCO2Blood 24.9 mmol/L, TotalCholesterol 214.0 mg/dL, HDL 59.7 mg/dL, AutoWBCCount 3.6 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 13.2 g/dL, AutoHct 44.1 %, AutoMCV 93.4 fL, MCH 28.9 pg, MCHC 33.8 g/dL, RDWv 44.8 fL, PlateletCount 175.4 10*3/uL, PDW 399.2 fL, MPV 10.3 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Unemployed, Limited social contact","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1246,1318,Received vaccination at age 42 to produce active immunity.,1978-07-09,Roselle682,2021-06-27,2021-06-27,23,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,278.58,,,42,,,,
1247,1319,Administered vaccine for active immunity at age 43.,1978-07-09,Roselle682,2021-07-18,2021-07-18,23,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,43,,,,
1248,1320,"General exam at 43 with medication reconciliation, psychosocial screening, and dental referral; still on antihypertensives.",1978-07-09,Roselle682,2022-01-09,2022-01-09,23,wellness,162673000,General examination of patient (procedure),136.8,1141.65,0.0,,,43,"HbA1c 6.1 %, Height 165.5 cm, PainScore 2.0 {score}, Weight 92.9 kg, BMI 33.9 kg/m2, DBP 91.0 mm[Hg], SBP 123.0 mm[Hg], HR 85.0 /min, RR 16.0 /min, BloodGlucose 70.7 mg/dL, BloodBUN 19.3 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 139.4 mmol/L, BloodK 4.1 mmol/L, BloodChloride 109.8 mmol/L, TotalCO2Blood 22.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1249,1325,"Comprehensive dental check at 43, including fluoride treatment.",1978-07-09,Roselle682,2022-01-23,2022-01-23,23,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),43,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1250,1334,"At 44, assessments reveal metabolic syndrome, gingivitis, and full-time employment; medication review remains due.",1978-07-09,Roselle682,2023-01-15,2023-01-15,23,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,44,"HbA1c 5.9 %, Height 165.5 cm, PainScore 0.0 {score}, Weight 94.8 kg, BMI 34.6 kg/m2, DBP 84.0 mm[Hg], SBP 134.0 mm[Hg], HR 98.0 /min, RR 13.0 /min, BloodGlucose 75.4 mg/dL, BloodBUN 18.1 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 138.4 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.7 mmol/L, TotalCO2Blood 21.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, MetS, Full-time employed, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral"
1251,1336,Dental care and preventive procedures done at 44.,1978-07-09,Roselle682,2023-01-29,2023-01-29,23,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,66383009.0,Gingivitis (disorder),44,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1252,1339,Encounter at 45 screened for multiple psychosocial factors; noted intimate partner violence (IPV).,1978-07-09,Roselle682,2024-01-21,2024-01-21,23,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,45,"HbA1c 6.3 %, Height 165.5 cm, PainScore 2.0 {score}, Weight 96.8 kg, BMI 35.3 kg/m2, DBP 91.0 mm[Hg], SBP 124.0 mm[Hg], HR 86.0 /min, RR 12.0 /min, BloodGlucose 83.2 mg/dL, BloodBUN 17.6 mg/dL, BloodCreatinine 1.1 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 140.9 mmol/L, BloodK 4.9 mmol/L, BloodChloride 102.0 mmol/L, TotalCO2Blood 20.3 mmol/L, TotalCholesterol 210.8 mg/dL, HDL 55.1 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",IPV,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1253,1341,"At 46, assessments for mental health and social issues continue; patient reports stress and part-time employment.",1978-07-09,Roselle682,2025-01-26,2025-01-26,23,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,46,"HbA1c 6.2 %, Height 165.5 cm, PainScore 2.0 {score}, Weight 98.7 kg, BMI 36.0 kg/m2, DBP 84.0 mm[Hg], SBP 124.0 mm[Hg], HR 66.0 /min, RR 15.0 /min, BloodGlucose 88.4 mg/dL, BloodBUN 13.8 mg/dL, BloodCreatinine 1.7 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 143.9 mmol/L, BloodK 4.3 mmol/L, BloodChloride 106.9 mmol/L, TotalCO2Blood 20.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1254,1346,Dental checkup at 46 included advanced restorative care for lost filling and fluoride therapy.,1978-07-09,Roselle682,2025-02-09,2025-02-09,23,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),46,,Lost filling,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
1255,1223,"Initial health check-up at age 15 without noted procedures, medications, or conditions.",1950-04-15,Rolland302,1965-12-18,1965-12-18,24,outpatient,185349003,Encounter for check up (procedure),85.55,868.65,818.65,,,15,,,,
1256,1225,"General exam at age 18 revealed social determinants impacting health including poor housing, high school education level, and lack of transportation.",1950-04-15,Rolland302,1968-06-08,1968-06-08,24,wellness,162673000,General examination of patient (procedure),136.8,919.9,769.9,,,18,,"Poor housing, HS education, No transport",,
1257,1228,"At 22 years, patient diagnosed with hypertension and obesity (BMI >30) during general examination.",1950-04-15,Rolland302,1972-06-17,1972-06-17,24,wellness,162673000,General examination of patient (procedure),136.8,994.48,844.48,,,22,,"HTN, Obesity BMI>30",,
1258,1230,General examination at age 27 identified ongoing transport issues affecting care.,1950-04-15,Rolland302,1977-07-16,1977-07-16,24,wellness,162673000,General examination of patient (procedure),136.8,994.48,844.48,,,27,,Transport issues,,
1259,1231,"At 38, patient noted to have diabetic nephropathy and elevated microalbumin levels.",1950-04-15,Rolland302,1988-09-17,1988-09-17,24,wellness,162673000,General examination of patient (procedure),136.8,1069.06,919.06,,,38,,"Diabetic nephropathy, Diabetic microalbumin",,
1260,1233,Emergency hospital admission at 39 for management of chronic pain.,1950-04-15,Rolland302,1990-04-06,1990-04-06,24,emergency,183452005,Emergency hospital admission (procedure),87.71,87.71,37.71,82423001.0,Chronic pain (finding),39,,Chronic pain,,
1261,1234,Emergency treatment for impacted molars performed at age 40.,1950-04-15,Rolland302,1990-06-17,1990-06-17,24,emergency,182813001,Emergency treatment (procedure),146.18,6196.09,6046.09,196416002.0,Impacted molars (disorder),40,,Impacted molars,,
1262,1237,Emergency care provided for chronic migraine episodes at age 40.,1950-04-15,Rolland302,1990-12-19,1990-12-19,24,emergency,182813001,Emergency treatment (procedure),146.18,146.18,96.18,124171000119105.0,Chronic intractable migraine without aura (disorder),40,,Chronic migraine,,
1263,1239,"General exam at 41 confirmed diabetic proteinuria, monitoring kidney function.",1950-04-15,Rolland302,1991-10-05,1991-10-05,24,wellness,162673000,General examination of patient (procedure),136.8,1534.04,1484.04,,,41,,Diabetic proteinuria,,
1264,1240,Encounter at age 42 addressing tooth loss problems.,1950-04-15,Rolland302,1993-01-16,1993-01-16,24,ambulatory,185347001,Encounter for problem (procedure),85.55,1379.75,1329.75,37320007.0,Loss of teeth (disorder),42,,Tooth loss,,
1265,1241,Encounter recorded for unspecified problem at age 45.,1950-04-15,Rolland302,1995-12-23,1995-12-23,24,ambulatory,185347001,Encounter for problem (procedure),85.55,234.71,184.71,431857002.0,Chronic kidney disease stage 4 (disorder),45,,,,
1266,1242,Emergency room admission at 49 without specified diagnosis.,1950-04-15,Rolland302,1999-05-01,1999-05-01,24,emergency,50849002,Emergency room admission (procedure),146.18,146.18,96.18,55680006.0,Drug overdose,49,,,,
1267,1244,"At 49, patient underwent drug rehabilitation and detoxification for drug dependency.",1950-04-15,Rolland302,1999-06-05,1999-06-18,24,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,96.18,6525002.0,Dependent drug abuse (disorder),49,,Drug dependency,,
1268,1246,Admission at 49 recorded for history of renal transplant.,1950-04-15,Rolland302,2000-02-26,2000-03-01,24,inpatient,305432006,Admission to surgical transplant department (procedure),146.18,3480.38,3430.38,698306007.0,Awaiting transplantation of kidney (situation),49,,H/o renal tx,,
1269,1248,General examination at age 60 identified hyperlipidemia.,1950-04-15,Rolland302,2011-01-22,2011-01-22,24,wellness,162673000,General examination of patient (procedure),136.8,1143.64,1143.64,,,60,,HLD,,
1270,1249,Follow-up at 60 with prescription of Simvastatin 10mg for hyperlipidemia.,1950-04-15,Rolland302,2011-02-12,2011-02-12,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,35.55,55822004.0,Hyperlipidemia (disorder),60,,,Simvastatin 10mg tab,
1271,1250,Visit for chronic low back pain at 63 years.,1950-04-15,Rolland302,2014-02-15,2014-02-15,24,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,35.55,82423001.0,Chronic pain (finding),63,,Chronic LBP,,
1272,1251,"At 64, comprehensive examination noted multiple antihypertensives and immunosuppressants with psychosocial stress and part-time employment.",1950-04-15,Rolland302,2015-02-14,2015-02-14,24,wellness,162673000,General examination of patient (procedure),136.8,1025.29,1025.29,,,64,,"Part-time employed, Stress","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1273,1252,Follow-up visit with continued Simvastatin therapy at 64.,1950-04-15,Rolland302,2015-03-08,2015-03-08,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,184.71,55822004.0,Hyperlipidemia (disorder),64,,,Simvastatin 10mg tab,
1274,1253,"At 65, patient admitted to hospice for palliative care with individualized care plans initiated.",1950-04-15,Rolland302,2015-04-18,2015-04-28,24,hospice,305336008,Admission to hospice (procedure),137.53,6608.53,6573.53,431857002.0,Chronic kidney disease stage 4 (disorder),65,,,,"Certification, Notifications, Initial assess, Indiv care plan, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Pt d/c"
1275,1255,Emergency admission for drug overdose at age 65.,1950-04-15,Rolland302,2015-08-22,2015-08-23,24,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,65,,Drug OD,,
1276,1256,"Rehabilitation services initiated post-drug overdose at 65.""",1950-04-15,Rolland302,2015-09-13,2015-09-13,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),65,,,,Rehab
1277,1257,"At 65, treated for acute bronchitis; acetaminophen 325mg prescribed for symptom relief.",1950-04-15,Rolland302,2015-12-16,2015-12-16,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,10509002.0,Acute bronchitis (disorder),65,,Acute bronchitis,APAP 325mg tab,
1278,1258,Urgent care visit including comprehensive health and mental health assessments; continued medications for chronic conditions; full-time employment noted.,1950-04-15,Rolland302,2015-12-26,2015-12-26,24,urgentcare,702927004,Urgent care clinic (environment),142.58,845.98,810.98,,,65,"Height 186.8 cm, PainScore 2.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 68.0 mm[Hg], SBP 113.0 mm[Hg], HR 88.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1279,1262,Medication review and monitoring of chronic conditions continued.,1950-04-15,Rolland302,2016-01-02,2016-01-02,24,urgentcare,702927004,Urgent care clinic (environment),142.58,142.58,107.58,,,65,,,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1280,1263,Dental check-up with comprehensive dental cleaning and oral health education at 65.,1950-04-15,Rolland302,2016-01-09,2016-01-09,24,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2638.95,103697008.0,Patient referral for dental care (procedure),65,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1281,1265,"General exam at 65 identified social isolation, gingivitis, and stress; patient not currently employed.",1950-04-15,Rolland302,2016-02-20,2016-02-20,24,wellness,162673000,General examination of patient (procedure),136.8,800.37,800.37,,,65,"Height 186.8 cm, PainScore 1.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 68.0 mm[Hg], SBP 107.0 mm[Hg], HR 87.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Not in workforce, Social isolation, Stress, Gingivitis","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1282,1266,Dental visit including filling repair and preventive care for loose filling.,1950-04-15,Rolland302,2016-03-05,2016-03-05,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,66383009.0,Gingivitis (disorder),65,,Loose filling,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Oral health ed"
1283,1267,Follow-up visit continuing Simvastatin therapy.,1950-04-15,Rolland302,2016-03-07,2016-03-07,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),65,"BloodGlucose 98.5 mg/dL, BloodBUN 15.7 mg/dL, BloodCreatinine 2.9 mg/dL, BloodCalcium 8.8 mg/dL, BloodNa 143.7 mmol/L, BloodK 4.4 mmol/L, BloodChloride 101.8 mmol/L, TotalCO2Blood 21.0 mmol/L, MDRDGFR 87.4 mL/min, SerumProtein 7.5 g/dL, AlbuminMass 4.6 g/dL, SerumGlobulin 2.9 g/L, TotalBilirubin 0.4 mg/dL, AlkPhosActivity 48.4 U/L, ALT 38.7 U/L, AST 26.4 U/L, TotalCholesterol 176.2 mg/dL, HDL 40.7 mg/dL",,Simvastatin 10mg tab,
1284,1269,Colonoscopy performed for screening at age 66.,1950-04-15,Rolland302,2016-07-14,2016-07-14,24,ambulatory,185349003,Encounter for check up (procedure),85.55,12137.65,12102.65,275978004.0,Screening for malignant neoplasm of colon (procedure),66,,,,Colonoscopy
1285,1270,"Exam highlighted ongoing medication use, employment status and exposure to environmental violence.",1950-04-15,Rolland302,2017-02-25,2017-02-25,24,wellness,162673000,General examination of patient (procedure),136.8,914.78,914.78,,,66,"Height 186.8 cm, PainScore 0.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 67.0 mm[Hg], SBP 108.0 mm[Hg], HR 79.0 /min, RR 15.0 /min, TotalCholesterol 142.4 mg/dL, HDL 69.0 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed, Enviro violence","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Morse fall assess"
1286,1272,Continued monitoring and medication management at 66.,1950-04-15,Rolland302,2017-03-07,2017-03-07,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),66,"BloodGlucose 94.0 mg/dL, BloodBUN 10.5 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 138.4 mmol/L, BloodK 4.8 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 27.7 mmol/L, MDRDGFR 76.9 mL/min, SerumProtein 6.8 g/dL, AlbuminMass 4.8 g/dL, SerumGlobulin 3.4 g/L, TotalBilirubin 1.1 mg/dL, AlkPhosActivity 128.6 U/L, ALT 36.4 U/L, AST 28.5 U/L, TotalCholesterol 180.2 mg/dL, HDL 31.5 mg/dL",,Simvastatin 10mg tab,
1287,1274,Rehabilitation services for ongoing health problems.,1950-04-15,Rolland302,2017-03-21,2017-03-21,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),66,,,,Rehab
1288,1276,Ongoing rehabilitation at 67 years.,1950-04-15,Rolland302,2017-04-20,2017-04-20,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),67,,,,Rehab
1289,1277,Continued rehab services at age 67.,1950-04-15,Rolland302,2017-05-20,2017-05-20,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),67,,,,Rehab
1290,1278,Additional rehabilitation interventions.,1950-04-15,Rolland302,2017-06-19,2017-06-19,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),67,,,,Rehab
1291,1279,Patient receiving comprehensive rehab care.,1950-04-15,Rolland302,2017-07-19,2017-07-19,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),67,,,,Rehab
1292,1280,Rehabilitation services reiterated.,1950-04-15,Rolland302,2017-08-18,2017-08-18,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),67,,,,Rehab
1293,1281,Exam at 67 included screening for domestic abuse and stress management in addition to medication reconciliation.,1950-04-15,Rolland302,2018-03-03,2018-03-03,24,wellness,162673000,General examination of patient (procedure),136.8,1011.46,1011.46,,,67,"Height 186.8 cm, PainScore 1.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 59.0 mm[Hg], SBP 110.0 mm[Hg], HR 92.0 /min, RR 13.0 /min, AutoWBCCount 9.4 10*3/uL, AutoRBCCount 3.9 10*6/uL, BloodHgb 15.6 g/dL, AutoHct 46.7 %, AutoMCV 93.6 fL, MCH 31.0 pg, MCHC 34.7 g/dL, RDWv 42.9 fL, PlateletCount 174.8 10*3/uL, PDW 508.3 fL, MPV 12.3 fL, SmokingStatus Ex-smoker (finding) nan",Stress,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Dental referral"
1294,1284,Follow-up for lipid management with Simvastatin.,1950-04-15,Rolland302,2018-03-07,2018-03-07,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),67,"BloodGlucose 91.4 mg/dL, BloodBUN 19.5 mg/dL, BloodCreatinine 2.9 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 142.4 mmol/L, BloodK 4.4 mmol/L, BloodChloride 101.6 mmol/L, TotalCO2Blood 24.6 mmol/L, MDRDGFR 80.7 mL/min, SerumProtein 6.1 g/dL, AlbuminMass 5.1 g/dL, SerumGlobulin 3.4 g/L, TotalBilirubin 0.8 mg/dL, AlkPhosActivity 130.9 U/L, ALT 53.2 U/L, AST 13.3 U/L, TotalCholesterol 201.8 mg/dL, HDL 49.0 mg/dL",,Simvastatin 10mg tab,
1295,1285,Comprehensive dental evaluation with fluoride treatment at 67.,1950-04-15,Rolland302,2018-03-17,2018-03-17,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,103697008.0,Patient referral for dental care (procedure),67,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1296,1286,Evaluated for viral sinusitis with supportive care.,1950-04-15,Rolland302,2018-08-06,2018-08-06,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),68,,Viral sinusitis,,
1297,1287,"Continued drug rehabilitation therapy.""",1950-04-15,Rolland302,2018-09-23,2018-09-26,24,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,111.18,6525002.0,Dependent drug abuse (disorder),68,PainScore 4.0 {score},,,
1298,1288,General exam including mental health and dental screening; medication review due; gingivitis noted.,1950-04-15,Rolland302,2018-10-27,2018-10-27,24,outpatient,185349003,Encounter for check up (procedure),85.55,868.65,833.65,,,68,"Height 186.8 cm, PainScore 2.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 62.0 mm[Hg], SBP 115.0 mm[Hg], HR 96.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Gingivitis","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1299,1289,Recurrent evaluation and treatment for viral sinusitis.,1950-04-15,Rolland302,2018-11-03,2018-11-03,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),68,,Viral sinusitis,,
1300,1290,Dental visit with preventive and restorative care at 68.,1950-04-15,Rolland302,2018-11-10,2018-11-10,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,66383009.0,Gingivitis (disorder),68,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1301,1291,Rehabilitation continued for health maintenance.,1950-04-15,Rolland302,2018-12-12,2018-12-12,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),68,,,,Rehab
1302,1292,Exam at 68 documented social isolation and depression screenings with medication review pending.,1950-04-15,Rolland302,2019-03-09,2019-03-09,24,wellness,162673000,General examination of patient (procedure),136.8,568.2,568.2,,,68,"Height 186.8 cm, PainScore 3.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 68.0 mm[Hg], SBP 105.0 mm[Hg], HR 89.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Limited social contact","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
1303,1293,Maintained Simvastatin therapy in follow-up.,1950-04-15,Rolland302,2019-03-16,2019-03-16,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),68,"BloodGlucose 83.4 mg/dL, BloodBUN 13.3 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 141.4 mmol/L, BloodK 5.1 mmol/L, BloodChloride 105.2 mmol/L, TotalCO2Blood 24.7 mmol/L, MDRDGFR 83.6 mL/min, SerumProtein 7.0 g/dL, AlbuminMass 4.5 g/dL, SerumGlobulin 3.1 g/L, TotalBilirubin 0.2 mg/dL, AlkPhosActivity 139.1 U/L, ALT 58.9 U/L, AST 38.7 U/L, TotalCholesterol 182.4 mg/dL, HDL 42.9 mg/dL",,Simvastatin 10mg tab,
1304,1294,Continued dental preventive care.,1950-04-15,Rolland302,2019-03-23,2019-03-23,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,103697008.0,Patient referral for dental care (procedure),68,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1305,1295,Ongoing rehab services at 69.,1950-04-15,Rolland302,2019-05-31,2019-05-31,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1306,1296,Continued rehabilitation.,1950-04-15,Rolland302,2019-06-30,2019-06-30,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1307,1297,Rehabilitation plans executed.,1950-04-15,Rolland302,2019-07-30,2019-07-30,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1308,1298,Additional rehab interventions.,1950-04-15,Rolland302,2019-08-29,2019-08-29,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1309,1299,Prolonged rehabilitation.,1950-04-15,Rolland302,2019-09-28,2019-09-28,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1310,1300,Continued rehab therapy.,1950-04-15,Rolland302,2019-10-28,2019-10-28,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1311,1301,Maintaining rehabilitation regimen.,1950-04-15,Rolland302,2019-11-27,2019-11-27,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1312,1302,Rehabilitative care ongoing.,1950-04-15,Rolland302,2019-12-27,2019-12-27,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1313,1303,Further rehab services.,1950-04-15,Rolland302,2020-03-01,2020-03-01,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),69,,,,Rehab
1314,1304,Thorough examination at 69 including mental health and domestic abuse screening; medication reconciliation performed.,1950-04-15,Rolland302,2020-03-14,2020-03-14,24,wellness,162673000,General examination of patient (procedure),136.8,1266.8,1266.8,,,69,"Height 186.8 cm, PainScore 1.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 68.0 mm[Hg], SBP 102.0 mm[Hg], HR 100.0 /min, RR 12.0 /min, TotalCholesterol 177.8 mg/dL, HDL 57.0 mg/dL, SmokingStatus Ex-smoker (finding) nan",,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen"
1315,1305,Follow-up continuing statin therapy.,1950-04-15,Rolland302,2020-03-15,2020-03-15,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),69,"BloodGlucose 77.8 mg/dL, BloodBUN 19.2 mg/dL, BloodCreatinine 3.0 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 139.6 mmol/L, BloodK 5.1 mmol/L, BloodChloride 106.4 mmol/L, TotalCO2Blood 22.9 mmol/L, MDRDGFR 79.3 mL/min, SerumProtein 6.4 g/dL, AlbuminMass 4.4 g/dL, SerumGlobulin 2.8 g/L, TotalBilirubin 0.7 mg/dL, AlkPhosActivity 41.7 U/L, ALT 21.0 U/L, AST 39.3 U/L, TotalCholesterol 173.7 mg/dL, HDL 57.0 mg/dL",,Simvastatin 10mg tab,
1316,1306,Ongoing drug rehabilitation at 70.,1950-04-15,Rolland302,2020-06-30,2020-07-03,24,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,111.18,6525002.0,Dependent drug abuse (disorder),70,PainScore 2.0 {score},,,
1317,1307,Rehabilitation maintained.,1950-04-15,Rolland302,2021-01-22,2021-01-22,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),70,,,,Rehab
1318,1308,"Exam at 70 identified intimate partner violence concerns, mental health screening, and dental referral.",1950-04-15,Rolland302,2021-03-20,2021-03-20,24,wellness,162673000,General examination of patient (procedure),136.8,1093.96,1093.96,,,70,"Height 186.8 cm, PainScore 4.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 69.0 mm[Hg], SBP 115.0 mm[Hg], HR 65.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, IPV","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1319,1309,Follow-up for lipid management with Simvastatin.,1950-04-15,Rolland302,2021-03-27,2021-03-27,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),70,"BloodGlucose 86.6 mg/dL, BloodBUN 13.6 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 143.1 mmol/L, BloodK 4.3 mmol/L, BloodChloride 105.7 mmol/L, TotalCO2Blood 28.4 mmol/L, MDRDGFR 65.2 mL/min, SerumProtein 6.9 g/dL, AlbuminMass 5.1 g/dL, SerumGlobulin 2.7 g/L, TotalBilirubin 0.2 mg/dL, AlkPhosActivity 41.4 U/L, ALT 42.2 U/L, AST 6.6 U/L, TotalCholesterol 189.9 mg/dL, HDL 58.8 mg/dL",,Simvastatin 10mg tab,
1320,1310,Regular dental care including fluoride application at 70.,1950-04-15,Rolland302,2021-04-03,2021-04-03,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3501.75,103697008.0,Patient referral for dental care (procedure),70,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1321,1311,Continued detoxification program at 70.,1950-04-15,Rolland302,2021-04-04,2021-04-12,24,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,282.18,247.18,6525002.0,Dependent drug abuse (disorder),70,PainScore 4.0 {score},,,
1322,1312,Dental evaluation with bitewing x-rays and impression.,1950-04-15,Rolland302,2021-05-29,2021-05-29,24,ambulatory,185347001,Encounter for problem (procedure),85.55,1379.75,1344.75,37320007.0,Loss of teeth (disorder),71,,,,"Dental consult, Dental bitewing, Dental impression"
1323,1313,Denture fitting performed at 71.,1950-04-15,Rolland302,2021-06-12,2021-06-12,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,516.95,481.95,37320007.0,Loss of teeth (disorder),71,,,,Denture fitting
1324,1314,Colonoscopy repeated for screening purposes.,1950-04-15,Rolland302,2021-07-14,2021-07-14,24,ambulatory,185349003,Encounter for check up (procedure),85.55,20297.15,20262.15,275978004.0,Screening for malignant neoplasm of colon (procedure),71,,,,Colonoscopy
1325,1316,Continued rehabilitation services.,1950-04-15,Rolland302,2021-08-30,2021-08-30,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),71,,,,Rehab
1326,1317,"Comprehensive examination addressing social isolation, stress, and medication review at 71.",1950-04-15,Rolland302,2022-03-26,2022-03-26,24,wellness,162673000,General examination of patient (procedure),136.8,840.2,840.2,,,71,"Height 186.8 cm, PainScore 2.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 59.0 mm[Hg], SBP 106.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Social isolation, Stress","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen"
1327,1321,Emergency admission at 71 for drug overdose.,1950-04-15,Rolland302,2022-03-30,2022-03-31,24,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,71,,Drug OD,,
1328,1322,Follow-up post-ER admission with continued statin therapy.,1950-04-15,Rolland302,2022-03-27,2022-03-27,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),71,"BloodGlucose 78.1 mg/dL, BloodBUN 8.3 mg/dL, BloodCreatinine 3.4 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 139.1 mmol/L, BloodK 4.2 mmol/L, BloodChloride 105.3 mmol/L, TotalCO2Blood 23.9 mmol/L, MDRDGFR 71.3 mL/min, SerumProtein 7.0 g/dL, AlbuminMass 3.8 g/dL, SerumGlobulin 3.3 g/L, TotalBilirubin 0.4 mg/dL, AlkPhosActivity 103.0 U/L, ALT 45.5 U/L, AST 35.6 U/L, TotalCholesterol 154.5 mg/dL, HDL 44.5 mg/dL",,Simvastatin 10mg tab,
1329,1323,Ongoing rehab treatments.,1950-04-15,Rolland302,2022-04-14,2022-04-14,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),71,,,,Rehab
1330,1324,Rehabilitation sustained.,1950-04-15,Rolland302,2022-05-14,2022-05-14,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1331,1326,Further rehab interventions.,1950-04-15,Rolland302,2022-06-13,2022-06-13,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1332,1327,Rehab program continuation.,1950-04-15,Rolland302,2022-07-13,2022-07-13,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1333,1328,Rehab treatment ongoing.,1950-04-15,Rolland302,2022-08-12,2022-08-12,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1334,1329,Rehabilitation care continued.,1950-04-15,Rolland302,2022-09-11,2022-09-11,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1335,1330,Treatment provided for recurrent viral sinusitis at 72.,1950-04-15,Rolland302,2022-10-01,2022-10-01,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),72,,Viral sinusitis,,
1336,1331,Extended rehab services.,1950-04-15,Rolland302,2022-10-11,2022-10-11,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1337,1332,Continued rehabilitation.,1950-04-15,Rolland302,2023-01-05,2023-01-05,24,ambulatory,185347001,Encounter for problem (procedure),85.55,516.95,481.95,6525002.0,Dependent drug abuse (disorder),72,,,,Rehab
1338,1333,"Diagnosed with acute bronchitis at 72, pulmonary function tests ordered and symptomatic treatment prescribed.",1950-04-15,Rolland302,2023-03-22,2023-03-22,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,137.1,102.1,10509002.0,Acute bronchitis (disorder),72,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,PFT
1339,1335,"Comprehensive assessment addressing anxiety, depression, falls risk, and medication management.",1950-04-15,Rolland302,2023-04-01,2023-04-01,24,wellness,162673000,General examination of patient (procedure),136.8,853.36,853.36,,,72,"Height 186.8 cm, PainScore 2.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 64.0 mm[Hg], SBP 114.0 mm[Hg], HR 73.0 /min, RR 16.0 /min, TotalCholesterol 177.5 mg/dL, HDL 59.9 mg/dL, AutoWBCCount 6.0 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 13.6 g/dL, AutoHct 44.9 %, AutoMCV 85.3 fL, MCH 30.4 pg, MCHC 35.4 g/dL, RDWv 40.0 fL, PlateletCount 229.5 10*3/uL, PDW 463.3 fL, MPV 12.3 fL, SmokingStatus Ex-smoker (finding) nan",,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen"
1340,1337,Medication reconciliation performed during urgent care visit.,1950-04-15,Rolland302,2023-04-08,2023-04-08,24,urgentcare,702927004,Urgent care clinic (environment),142.58,402.61,367.61,,,72,,,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
1341,1338,Urgent care visit including medication review and social assessments with concerns about social isolation and environmental violence.,1950-04-15,Rolland302,2023-04-15,2023-04-15,24,urgentcare,702927004,Urgent care clinic (environment),142.58,1436.78,1401.78,,,72,"Height 186.8 cm, PainScore 2.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 66.0 mm[Hg], SBP 112.0 mm[Hg], HR 88.0 /min, RR 16.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Social isolation, Enviro violence","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
1342,1340,Follow-up visit with continued statin therapy.,1950-04-15,Rolland302,2023-04-22,2023-04-22,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),73,"BloodGlucose 70.5 mg/dL, BloodBUN 17.3 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 141.3 mmol/L, BloodK 4.9 mmol/L, BloodChloride 104.5 mmol/L, TotalCO2Blood 22.4 mmol/L, MDRDGFR 80.4 mL/min, SerumProtein 7.8 g/dL, AlbuminMass 4.4 g/dL, SerumGlobulin 3.2 g/L, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 48.6 U/L, ALT 40.8 U/L, AST 33.3 U/L, TotalCholesterol 197.9 mg/dL, HDL 40.5 mg/dL",,Simvastatin 10mg tab,
1343,1342,Emergency room admission at 73 for drug overdose.,1950-04-15,Rolland302,2023-12-30,2023-12-30,24,emergency,50849002,Emergency room admission (procedure),146.18,146.18,111.18,55680006.0,Drug overdose,73,,Drug OD,,
1344,1343,"Check-up addressing mental health, domestic abuse screening, with medication review and stress management.",1950-04-15,Rolland302,2024-01-20,2024-01-20,24,outpatient,185349003,Encounter for check up (procedure),85.55,652.95,617.95,,,73,"Height 186.8 cm, PainScore 3.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 68.0 mm[Hg], SBP 108.0 mm[Hg], HR 75.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Stress","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen"
1345,1344,Diagnosed with viral sinusitis and treated with amoxicillin/clavulanate.,1950-04-15,Rolland302,2024-01-27,2024-01-27,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),73,,Viral sinusitis,Amox/Clav 250/125mg tab,
1346,1345,Comprehensive check-up highlighting social isolation and mental health with dental referral.,1950-04-15,Rolland302,2024-03-30,2024-03-30,24,outpatient,185349003,Encounter for check up (procedure),85.55,906.85,871.85,,,73,"Height 186.8 cm, PainScore 3.0 {score}, Weight 125.7 kg, BMI 36.0 kg/m2, DBP 67.0 mm[Hg], SBP 113.0 mm[Hg], HR 96.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan","Not in workforce, Limited social contact","HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1347,1347,General exam with medication review due.,1950-04-15,Rolland302,2024-04-06,2024-04-06,24,wellness,162673000,General examination of patient (procedure),136.8,352.5,352.5,,,73,,Med review due,"HCTZ 25mg tab, 24hr Tacrolimus 1mg ER tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
1348,1348,Dental check-up with treatment for dental caries and preventive care.,1950-04-15,Rolland302,2024-04-13,2024-04-13,24,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3933.15,103697008.0,Patient referral for dental care (procedure),73,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
1349,1349,Repeated treatment and monitoring for viral sinusitis at 74.,1950-04-15,Rolland302,2024-04-20,2024-04-20,24,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,50.55,444814009.0,Viral sinusitis (disorder),74,,Viral sinusitis,,
1350,1350,Continuing statin therapy in follow-up.,1950-04-15,Rolland302,2024-04-21,2024-04-21,24,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,199.71,55822004.0,Hyperlipidemia (disorder),74,"BloodGlucose 84.8 mg/dL, BloodBUN 17.4 mg/dL, BloodCreatinine 2.7 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 140.1 mmol/L, BloodK 5.0 mmol/L, BloodChloride 109.5 mmol/L, TotalCO2Blood 28.1 mmol/L, MDRDGFR 67.9 mL/min, SerumProtein 7.6 g/dL, AlbuminMass 5.1 g/dL, SerumGlobulin 2.6 g/L, TotalBilirubin 0.2 mg/dL, AlkPhosActivity 51.3 U/L, ALT 22.0 U/L, AST 18.0 U/L, TotalCholesterol 204.4 mg/dL, HDL 78.3 mg/dL",,Simvastatin 10mg tab,
1351,1351,"Ongoing drug rehabilitation and detoxification.""",1950-04-15,Rolland302,2024-07-20,2024-07-24,24,inpatient,56876005,Drug rehabilitation and detoxification (regime/therapy),146.18,146.18,111.18,6525002.0,Dependent drug abuse (disorder),74,PainScore 4.0 {score},,,
1352,1352,Encounter at age 4 for symptoms; patient diagnosed with chronic sinusitis requiring ongoing monitoring.,1956-04-12,Regenia619,1960-12-30,1960-12-30,25,ambulatory,185345009,Encounter for symptom (procedure),85.55,92.93,0.0,75498004.0,Acute bacterial sinusitis (disorder),4,,Chronic sinusitis,,
1353,1353,General examination at age 18; educational background noted as primary education only.,1956-04-12,Regenia619,1974-06-07,1974-06-07,25,wellness,162673000,General examination of patient (procedure),136.8,1056.17,0.0,,,18,,Primary ed only,,
1354,1354,General exam at age 25 revealing obesity with BMI over 30; counseling for weight management initiated.,1956-04-12,Regenia619,1981-06-19,1981-06-19,25,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,25,,Obesity BMI>30,,
1355,1355,"Prenatal visit at 26 years; history of miscarriage noted, monitoring and supportive care planned.",1956-04-12,Regenia619,1982-07-04,1982-07-04,25,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,0.0,156073000.0,Complete miscarriage (disorder),26,,H/o miscarriage,,
1356,1356,At age 35 admitted to surgical department; history of tubal issues considered in management.,1956-04-12,Regenia619,1991-09-27,1991-09-28,25,inpatient,305408004,Admission to surgical department (procedure),146.18,5433.47,0.0,183996000.0,Sterilization requested (situation),35,,H/o tubal,,
1357,1357,General exam at 46 years identified prediabetes and anemia; follow-up labs and nutrition consult recommended.,1956-04-12,Regenia619,2002-05-03,2002-05-03,25,wellness,162673000,General examination of patient (procedure),136.8,923.8,0.0,,,46,,"Prediabetes, Anemia",,
1358,1358,Routine examination at 53 years; patient is full-time employed with no new complaints.,1956-04-12,Regenia619,2009-05-01,2009-05-01,25,wellness,162673000,General examination of patient (procedure),136.8,1115.65,0.0,,,53,,Full-time employed,,
1359,1359,Exam at age 57 showing elevated stress levels; advised stress management and possible counseling.,1956-04-12,Regenia619,2013-05-24,2013-05-24,25,wellness,162673000,General examination of patient (procedure),136.8,1174.12,0.0,,,57,,Stress,,
1360,1360,"At 58, general check-up noted medication review is due.",1956-04-12,Regenia619,2014-05-30,2014-05-30,25,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,58,,Med review due,,
1361,1361,Comprehensive assessment at 59 years including social and mental health screens; social isolation and intimate partner violence risk noted; dental referral made.,1956-04-12,Regenia619,2015-06-05,2015-06-05,25,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,59,"HbA1c 6.0 %, Height 160.1 cm, PainScore 4.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 72.0 mm[Hg], SBP 131.0 mm[Hg], HR 60.0 /min, RR 16.0 /min, BloodGlucose 75.3 mg/dL, BloodBUN 8.8 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 139.6 mmol/L, BloodK 3.8 mmol/L, BloodChloride 104.9 mmol/L, TotalCO2Blood 26.5 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Social isolation, IPV",,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1362,1362,Dental visit at 59 with thorough cleaning and fluoride treatment; oral gel prescribed.,1956-04-12,Regenia619,2015-06-19,2015-06-19,25,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),59,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1363,1363,"At 59 years, patient treated for knee osteoarthritis with Naproxen.",1956-04-12,Regenia619,2016-02-23,2016-02-23,25,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,239873007.0,Osteoarthritis of knee (disorder),59,PainScore 10.0 {score},Knee OA,Naproxen Na 220mg tab,
1364,1364,Presented with symptoms consistent with acute viral pharyngitis; supportive care provided.,1956-04-12,Regenia619,2016-02-20,2016-02-20,25,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,195662009.0,Acute viral pharyngitis (disorder),59,BodyTemp 37.6 Cel,Acute viral pharyngitis,,
1365,1365,Exam at 60 including mental health screening; patient noted not in workforce.,1956-04-12,Regenia619,2016-06-10,2016-06-10,25,wellness,162673000,General examination of patient (procedure),136.8,785.58,0.0,,,60,"HbA1c 6.2 %, Height 160.1 cm, PainScore 2.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 73.0 mm[Hg], SBP 143.0 mm[Hg], HR 98.0 /min, RR 14.0 /min, BloodGlucose 88.9 mg/dL, BloodBUN 8.2 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 9.5 mg/dL, BloodNa 143.8 mmol/L, BloodK 4.9 mmol/L, BloodChloride 108.0 mmol/L, TotalCO2Blood 22.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,,"Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen"
1366,1366,Comprehensive screens at 61; patient is employed full-time; no acute issues.,1956-04-12,Regenia619,2017-06-16,2017-06-16,25,wellness,162673000,General examination of patient (procedure),136.8,1475.38,0.0,,,61,"HbA1c 6.1 %, Height 160.1 cm, PainScore 1.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 71.0 mm[Hg], SBP 133.0 mm[Hg], HR 64.0 /min, RR 12.0 /min, BloodGlucose 81.8 mg/dL, BloodBUN 17.9 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 141.9 mmol/L, BloodK 4.9 mmol/L, BloodChloride 108.9 mmol/L, TotalCO2Blood 22.5 mmol/L, TotalCholesterol 185.0 mg/dL, HDL 50.5 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1367,1367,At 62 years treated for viral sinusitis with Amoxicillin/Clavulanate.,1956-04-12,Regenia619,2018-05-23,2018-05-24,25,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),62,,Viral sinusitis,Amox/Clav 250/125mg tab,
1368,1368,General exam at 62 with multiple screenings; medication review due; ongoing social isolation noted.,1956-04-12,Regenia619,2018-06-22,2018-06-22,25,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,62,"HbA1c 6.0 %, Height 160.1 cm, PainScore 4.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 75.0 mm[Hg], SBP 149.0 mm[Hg], HR 90.0 /min, RR 15.0 /min, BloodGlucose 87.8 mg/dL, BloodBUN 14.6 mg/dL, BloodCreatinine 0.7 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 143.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 108.3 mmol/L, TotalCO2Blood 21.1 mmol/L, AutoWBCCount 8.1 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.6 g/dL, AutoHct 42.6 %, AutoMCV 83.0 fL, MCH 27.5 pg, MCHC 35.8 g/dL, RDWv 43.6 fL, PlateletCount 167.8 10*3/uL, PDW 407.0 fL, MPV 10.3 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Social isolation",,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1369,1369,Presented with acute bronchitis; chest x-ray performed; symptomatic treatment prescribed.,1956-04-12,Regenia619,2018-09-06,2018-09-06,25,ambulatory,185345009,Encounter for symptom (procedure),85.55,4930.85,16.97,10509002.0,Acute bronchitis (disorder),62,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,CXR
1370,1370,Routine check-up at 62 with full medication and social assessments.,1956-04-12,Regenia619,2018-09-14,2018-09-14,25,outpatient,185349003,Encounter for check up (procedure),85.55,814.03,488.42,,,62,"HbA1c 5.9 %, Height 160.1 cm, PainScore 2.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 73.0 mm[Hg], SBP 149.0 mm[Hg], HR 91.0 /min, RR 15.0 /min, BloodGlucose 68.5 mg/dL, BloodBUN 17.0 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 141.1 mmol/L, BloodK 4.7 mmol/L, BloodChloride 104.2 mmol/L, TotalCO2Blood 28.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",,,"Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, Drug abuse screen"
1371,1371,"At 63 years, examination revealed gingivitis; dental referral made; medication review due.",1956-04-12,Regenia619,2019-06-28,2019-06-28,25,wellness,162673000,General examination of patient (procedure),136.8,1001.28,0.0,,,63,"HbA1c 6.1 %, Height 160.1 cm, PainScore 2.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 77.0 mm[Hg], SBP 139.0 mm[Hg], HR 77.0 /min, RR 15.0 /min, BloodGlucose 72.4 mg/dL, BloodBUN 15.6 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 143.8 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.9 mmol/L, TotalCO2Blood 28.4 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Med rec, Health/social needs assess, Substance use assess, AUDIT-C assess, Dental referral"
1372,1372,Dental care visit at 63 addressing loose filling with comprehensive dental treatment.,1956-04-12,Regenia619,2019-07-12,2019-07-12,25,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),63,,Loose filling,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Oral health ed"
1373,1373,Routine exam at 64 with social and abuse screening; medication review due.,1956-04-12,Regenia619,2020-07-03,2020-07-03,25,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,64,"HbA1c 6.3 %, Height 160.1 cm, PainScore 3.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 73.0 mm[Hg], SBP 133.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, BloodGlucose 84.1 mg/dL, BloodBUN 18.3 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 139.4 mmol/L, BloodK 4.5 mmol/L, BloodChloride 106.2 mmol/L, TotalCO2Blood 25.0 mmol/L, TotalCholesterol 111.8 mg/dL, HDL 55.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,"Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess"
1374,1374,Vaccines administered at 65 years to maintain active immunity.,1956-04-12,Regenia619,2021-05-14,2021-05-14,25,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,36.46,,,65,,,,
1375,1375,Additional vaccine given at 65 as per immunization schedule.,1956-04-12,Regenia619,2021-06-04,2021-06-04,25,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,65,,,,
1376,1376,Exam at 65 including extensive screenings; patient stressed and not currently in workforce.,1956-04-12,Regenia619,2021-07-09,2021-07-09,25,wellness,162673000,General examination of patient (procedure),136.8,921.58,737.26,,,65,"HbA1c 6.1 %, Height 160.1 cm, PainScore 2.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 72.0 mm[Hg], SBP 136.0 mm[Hg], HR 85.0 /min, RR 12.0 /min, BloodGlucose 82.6 mg/dL, BloodBUN 19.9 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 141.4 mmol/L, BloodK 4.8 mmol/L, BloodChloride 106.8 mmol/L, TotalCO2Blood 23.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Not in workforce, Stress",,"Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1377,1377,"At 66 years, full-time employed with limited social contact; screening continued.",1956-04-12,Regenia619,2022-07-15,2022-07-15,25,wellness,162673000,General examination of patient (procedure),136.8,921.58,550.86,,,66,"HbA1c 5.8 %, Height 160.1 cm, PainScore 3.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 71.0 mm[Hg], SBP 135.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, BloodGlucose 97.1 mg/dL, BloodBUN 19.1 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 143.2 mmol/L, BloodK 3.9 mmol/L, BloodChloride 107.7 mmol/L, TotalCO2Blood 23.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Limited social contact",,"Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, Drug abuse screen"
1378,1378,Exam at 67 revealed gingivitis; medication reconciliation and mental health screening done; dental referral made.,1956-04-12,Regenia619,2023-07-21,2023-07-21,25,wellness,162673000,General examination of patient (procedure),136.8,1150.44,733.94,,,67,"HbA1c 5.9 %, Height 160.1 cm, PainScore 0.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 78.0 mm[Hg], SBP 136.0 mm[Hg], HR 98.0 /min, RR 15.0 /min, BloodGlucose 69.8 mg/dL, BloodBUN 17.8 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 142.3 mmol/L, BloodK 5.2 mmol/L, BloodChloride 109.3 mmol/L, TotalCO2Blood 25.8 mmol/L, TotalCholesterol 173.3 mg/dL, HDL 54.3 mg/dL, AutoWBCCount 10.2 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 17.0 g/dL, AutoHct 42.8 %, AutoMCV 95.0 fL, MCH 27.3 pg, MCHC 34.0 g/dL, RDWv 44.7 fL, PlateletCount 343.3 10*3/uL, PDW 403.3 fL, MPV 11.0 fL, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1379,1379,Regular dental care at 67 with cleaning and fluoride treatment; oral gel prescribed.,1956-04-12,Regenia619,2023-08-04,2023-08-04,25,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),67,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1380,1380,Emergency admission for clavicle fracture at 67 years; imaging confirmed fracture; pain managed with Meperidine; admitted to ortho.,1956-04-12,Regenia619,2024-04-01,2024-04-01,25,emergency,50849002,Emergency room admission (procedure),146.18,9484.62,7587.69,125605004.0,Fracture of bone (disorder),67,ForearmBoneDensity -0.0 {T-score},"Bone fx, Clavicle fx",Meperidine 50mg tab,"Clavicle XR, Ortho admit, DEXA scan"
1381,1381,Routine check-up at 68 years with no acute issues reported.,1956-04-12,Regenia619,2024-05-15,2024-05-15,25,ambulatory,185349003,Encounter for check up (procedure),85.55,85.55,0.0,58150001.0,Fracture of clavicle (disorder),68,,,,
1382,1382,"At 68, extensive social and mental health screening done; patient not in workforce with limited social contact; medication review due.",1956-04-12,Regenia619,2024-07-26,2024-07-26,25,wellness,162673000,General examination of patient (procedure),136.8,778.78,505.06,,,68,"HbA1c 6.0 %, Height 160.1 cm, PainScore 2.0 {score}, Weight 70.1 kg, BMI 27.4 kg/m2, DBP 81.0 mm[Hg], SBP 132.0 mm[Hg], HR 93.0 /min, RR 13.0 /min, BloodGlucose 81.0 mg/dL, BloodBUN 13.5 mg/dL, BloodCreatinine 0.6 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.4 mmol/L, BloodK 3.8 mmol/L, BloodChloride 106.0 mmol/L, TotalCO2Blood 27.1 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce, Limited social contact",,"Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1383,1383,Patient is a 16-year-old presenting for a well child visit. No procedures or medications documented. Patient has noted risk behaviors that will be monitored over time.,1963-06-28,Katia630,1979-08-10,1979-08-10,26,wellness,410620009,Well child visit (procedure),136.8,994.48,0.0,,,16,,Risk behaviors,,
1384,1384,"At 18 years old, patient underwent a general examination. No procedures or medications administered. Social factors include poor housing but pursuing higher education.",1963-06-28,Katia630,1981-08-21,1981-08-21,26,wellness,162673000,General examination of patient (procedure),136.8,1290.59,0.0,,,18,,"Poor housing, Higher ed",,
1385,1385,"Patient at 25 years presented for general examination. No procedures or medications noted. History of intimate partner violence documented, requiring ongoing support.",1963-06-28,Katia630,1988-09-02,1988-09-02,26,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,25,,IPV,,
1386,1386,"At age 25, patient admitted to surgical department. No procedures or medications listed. Past medical history includes tubal ligation.",1963-06-28,Katia630,1989-05-15,1989-05-16,26,inpatient,305408004,Admission to surgical department (procedure),146.18,5140.09,2057.77,183996000.0,Sterilization requested (situation),25,,H/o tubal,,
1387,1387,General examination at 28 years revealed prediabetes and anemia. Patient also experiences social isolation.,1963-06-28,Katia630,1991-09-06,1991-09-06,26,wellness,162673000,General examination of patient (procedure),136.8,917.0,0.0,,,28,,"Prediabetes, Anemia, Social isolation",,
1388,1388,"At age 31, general examination noted limited social contact without other significant findings.",1963-06-28,Katia630,1994-09-09,1994-09-09,26,wellness,162673000,General examination of patient (procedure),136.8,996.16,0.0,,,31,,Limited social contact,,
1389,1389,Check up visit at 35 years; patient is part-time employed with no other significant findings documented.,1963-06-28,Katia630,1999-06-25,1999-06-25,26,outpatient,185349003,Encounter for check up (procedure),85.55,950.03,0.0,,,35,,Part-time employed,,
1390,1390,"At 36, patient presented with unspecified symptoms. No procedures or medications recorded.",1963-06-28,Katia630,1999-07-02,1999-07-02,26,ambulatory,185345009,Encounter for symptom (procedure),85.55,775.79,0.0,10509002.0,Acute bronchitis (disorder),36,,,,
1391,1391,"At 37 years, comprehensive evaluation including medication reconciliation and multiple mental health screenings conducted. Patient is full-time employed but faces environmental violence exposure. Medication review is pending.",1963-06-28,Katia630,2000-09-15,2000-09-15,26,wellness,162673000,General examination of patient (procedure),136.8,1069.06,0.0,,,37,"HbA1c 6.3 %, Height 164.1 cm, PainScore 3.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 76.0 mm[Hg], SBP 97.0 mm[Hg], HR 99.0 /min, RR 15.0 /min, BloodGlucose 82.0 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 1.6 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 139.2 mmol/L, BloodK 4.1 mmol/L, BloodChloride 110.4 mmol/L, TotalCO2Blood 26.9 mmol/L, TotalCholesterol 286.9 mg/dL, HDL 57.6 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed, Enviro violence",,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1392,1392,"At 40, patient assessed for health/social needs and substance use including alcohol screening (AUDIT-C). Patient reports stress; medication review is needed.",1963-06-28,Katia630,2003-07-04,2003-07-04,26,wellness,162673000,General examination of patient (procedure),136.8,996.16,0.0,,,40,"HbA1c 5.9 %, Height 164.1 cm, PainScore 1.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 80.0 mm[Hg], SBP 104.0 mm[Hg], HR 98.0 /min, RR 13.0 /min, BloodGlucose 70.4 mg/dL, BloodBUN 14.7 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.3 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 24.2 mmol/L, AutoWBCCount 7.3 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 17.4 g/dL, AutoHct 44.3 %, AutoMCV 87.0 fL, MCH 28.5 pg, MCHC 33.3 g/dL, RDWv 42.2 fL, PlateletCount 255.0 10*3/uL, PDW 416.2 fL, MPV 10.2 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",,"Health/social needs assess, Substance use assess, AUDIT-C assess"
1393,1393,Urgent care visit at 41 with spirometry testing and thorough mental health assessments. Diagnosed with emphysema. Patient is part-time employed.,1963-06-28,Katia630,2004-07-09,2004-07-09,26,urgentcare,702927004,Urgent care clinic (environment),142.58,4699.37,0.0,,,41,"FEV1/FVC 46.2 %, HbA1c 5.8 %, Height 164.1 cm, PainScore 4.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 72.0 mm[Hg], SBP 106.0 mm[Hg], HR 89.0 /min, RR 13.0 /min, BloodGlucose 72.0 mg/dL, BloodBUN 13.1 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 138.4 mmol/L, BloodK 4.9 mmol/L, BloodChloride 110.5 mmol/L, TotalCO2Blood 24.5 mmol/L, TotalCholesterol 278.4 mg/dL, HDL 56.4 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Emphysema, Part-time employed",,"Spirometry, Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, PHQ-9 screen"
1394,1394,"Comprehensive evaluation at 42 including spirometry, mental health screening, substance use screening, and dental referral. Medications include inhalers (fluticasone/salmeterol, albuterol) and amlodipine for HTN. Patient full-time employed with gingivitis; medication review due.",1963-06-28,Katia630,2005-07-08,2005-07-08,26,wellness,162673000,General examination of patient (procedure),136.8,5735.75,4588.59,,,42,"FEV1/FVC 36.9 %, HbA1c 6.3 %, Height 164.1 cm, PainScore 1.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 94.0 mm[Hg], SBP 149.0 mm[Hg], HR 64.0 /min, RR 14.0 /min, BloodGlucose 98.8 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 136.4 mmol/L, BloodK 4.6 mmol/L, BloodChloride 108.4 mmol/L, TotalCO2Blood 20.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","HTN, Med review due, Full-time employed, Gingivitis","60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI, Albuterol 5mg/ml neb soln, Albuterol 5mg/ml neb soln, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI, Amlodipine 2.5mg tab","Spirometry, Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1395,1395,"Dental visit for comprehensive dental care and education. Treatments included scaling, surgery, tooth extraction and postop care due to tooth infection and loose filling.",1963-06-28,Katia630,2005-07-22,2005-07-23,26,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),42,,"Tooth infxn, Loose filling",,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental surgery, Dental desensitizing, Simple tooth ext, Dental postop care, Gingival exam, Dental composite post-fx, Oral health ed"
1396,1396,Follow-up for dental surgery at age 42 with socket procedure and postop care provided. Diagnosed with jaw alveolitis.,1963-06-28,Katia630,2005-07-28,2005-07-28,26,ambulatory,439740005,Postoperative follow-up visit (procedure),142.58,2299.58,1839.66,61804006.0,Alveolitis of jaw (disorder),42,,Jaw alveolitis,,"Dental consult, Dental surgery, Socket procedure, Dental postop care, Oral health ed"
1397,1397,Follow-up encounter with no additional procedures or medications documented.,1963-06-28,Katia630,2005-08-07,2005-08-07,26,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,59621000.0,Essential hypertension (disorder),42,"DBP 84.0 mm[Hg], SBP 140.0 mm[Hg]",,,
1398,1398,Follow-up encounter with no new significant findings documented.,1963-06-28,Katia630,2005-10-06,2005-10-06,26,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,59621000.0,Essential hypertension (disorder),42,"DBP 81.0 mm[Hg], SBP 139.0 mm[Hg]",,,
1399,1399,Follow-up encounter with no new procedures or medications recorded.,1963-06-28,Katia630,2005-12-05,2005-12-05,26,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,59621000.0,Essential hypertension (disorder),42,"DBP 75.0 mm[Hg], SBP 137.0 mm[Hg]",,,
1400,1400,General exam at 43 included spirometry and multiple mental health and substance use assessments and a dental referral. Patient on inhalers and amlodipine; experiencing stress and gingivitis; medication review pending.,1963-06-28,Katia630,2006-07-14,2006-07-14,26,wellness,162673000,General examination of patient (procedure),136.8,6001.85,4734.98,,,43,"FEV1/FVC 31.7 %, HbA1c 6.0 %, Height 164.1 cm, PainScore 2.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 77.0 mm[Hg], SBP 120.0 mm[Hg], HR 100.0 /min, RR 15.0 /min, BloodGlucose 70.8 mg/dL, BloodBUN 19.6 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.7 mg/dL, BloodNa 137.4 mmol/L, BloodK 4.3 mmol/L, BloodChloride 109.4 mmol/L, TotalCO2Blood 20.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, Gingivitis","Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 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"
1401,1401,"Dental check-up with comprehensive dental procedures including scaling, bitewing imaging, gingival exam, and oral health education.",1963-06-28,Katia630,2006-07-28,2006-07-29,26,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),43,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1402,1402,Comprehensive exam with spirometry and extensive mental health and substance misuse screening at 44. Medications reviewed include inhalers and amlodipine. Drug misuse noted.,1963-06-28,Katia630,2007-07-20,2007-07-20,26,wellness,162673000,General examination of patient (procedure),136.8,14485.99,11588.78,,,44,"FEV1/FVC 30.6 %, HbA1c 6.0 %, Height 164.1 cm, PainScore 3.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 72.0 mm[Hg], SBP 129.0 mm[Hg], HR 69.0 /min, RR 14.0 /min, BloodGlucose 67.8 mg/dL, BloodBUN 10.5 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 142.2 mmol/L, BloodK 4.9 mmol/L, BloodChloride 102.0 mmol/L, TotalCO2Blood 21.5 mmol/L, TotalCholesterol 278.9 mg/dL, HDL 53.9 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",Drug misuse,"Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI","Spirometry, Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1403,1406,Presented with respiratory symptoms at age 44. CXR performed. Treated with acetaminophen. Diagnosed with acute bronchitis.,1963-06-28,Katia630,2008-01-09,2008-01-09,26,ambulatory,185345009,Encounter for symptom (procedure),85.55,3368.75,2695.0,10509002.0,Acute bronchitis (disorder),44,,Acute bronchitis,APAP 325mg tab,CXR
1404,1407,"Checkup with spirometry, mental health, and domestic abuse screening at 44. Medications remain consistent with prior visits. Patient part-time employed, experiencing stress and gingivitis; medication review pending.",1963-06-28,Katia630,2008-01-18,2008-01-18,26,outpatient,185349003,Encounter for check up (procedure),85.55,4295.76,3436.6,,,44,"FEV1/FVC 38.9 %, HbA1c 6.0 %, Height 164.1 cm, PainScore 0.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 75.0 mm[Hg], SBP 118.0 mm[Hg], HR 73.0 /min, RR 13.0 /min, BloodGlucose 93.7 mg/dL, BloodBUN 7.8 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.8 mg/dL, BloodNa 140.8 mmol/L, BloodK 4.1 mmol/L, BloodChloride 108.4 mmol/L, TotalCO2Blood 26.2 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Stress, Gingivitis","Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI","Spirometry, Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
1405,1409,Routine checkup at age 44 including spirometry. Medications continued. Medication review ongoing.,1963-06-28,Katia630,2008-01-25,2008-01-25,26,outpatient,185349003,Encounter for check up (procedure),85.55,3438.08,2750.46,,,44,"FEV1/FVC 41.3 %, HbA1c 6.2 %",Med review due,"Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI",Spirometry
1406,1411,"Dental evaluation addressing caries and including scaling, bitewing imaging, cuspal coverage and education at 44.",1963-06-28,Katia630,2008-02-01,2008-02-02,26,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),44,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed"
1407,1412,General exam with spirometry and mental health screening at age 45. Patient not currently in the workforce. Medication regimen ongoing.,1963-06-28,Katia630,2008-07-25,2008-07-25,26,wellness,162673000,General examination of patient (procedure),136.8,14127.49,11283.64,,,45,"FEV1/FVC 38.4 %, HbA1c 6.0 %, Height 164.1 cm, PainScore 3.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 72.0 mm[Hg], SBP 127.0 mm[Hg], HR 80.0 /min, RR 13.0 /min, BloodGlucose 95.9 mg/dL, BloodBUN 8.9 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 138.8 mmol/L, BloodK 5.0 mmol/L, BloodChloride 106.1 mmol/L, TotalCO2Blood 28.1 mmol/L, AutoWBCCount 7.6 10*3/uL, AutoRBCCount 4.8 10*6/uL, BloodHgb 15.5 g/dL, AutoHct 37.2 %, AutoMCV 92.0 fL, MCH 28.0 pg, MCHC 34.6 g/dL, RDWv 42.9 fL, PlateletCount 183.2 10*3/uL, PDW 357.4 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan",Not in workforce,"Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI","Spirometry, Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
1408,1415,Presented with symptoms of viral sinusitis at 45. Treated with amoxicillin/clavulanate.,1963-06-28,Katia630,2009-03-21,2009-03-21,26,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),45,,Viral sinusitis,Amox/Clav 250/125mg tab,
1409,1416,"At age 46, patient underwent comprehensive evaluations including spirometry and multiple screenings. Patient is now full-time employed and experiences stress. Medications reviewed and maintained.",1963-06-28,Katia630,2009-07-31,2009-07-31,26,wellness,162673000,General examination of patient (procedure),136.8,6501.54,5201.23,,,46,"FEV1/FVC 34.8 %, HbA1c 6.0 %, Height 164.1 cm, PainScore 2.0 {score}, Weight 73.7 kg, BMI 27.4 kg/m2, DBP 78.0 mm[Hg], SBP 126.0 mm[Hg], HR 99.0 /min, RR 13.0 /min, BloodGlucose 86.7 mg/dL, BloodBUN 17.1 mg/dL, BloodCreatinine 1.2 mg/dL, BloodCalcium 9.0 mg/dL, BloodNa 136.5 mmol/L, BloodK 3.8 mmol/L, BloodChloride 110.1 mmol/L, TotalCO2Blood 25.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress","Albuterol 5mg/ml neb soln, Amlodipine 2.5mg tab, 60act Fluticasone 0.25mg/Salmeterol 0.05mg DPI","Spirometry, Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1410,1419,Patient admitted to hospice care at 46 with full certification and individual care planning.,1963-06-28,Katia630,2009-08-07,2009-08-17,26,hospice,305336008,Admission to hospice (procedure),137.53,5314.33,4251.46,87433001.0,Pulmonary emphysema (disorder),46,,,,"Certification, Notifications, Initial assess, Indiv care plan, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice, Hospice"
1411,1420,Death certification completed at 46 years.,1963-06-28,Katia630,2009-08-21,2009-08-21,26,wellness,308646001,Death Certification,136.8,211.38,169.1,87433001.0,Pulmonary emphysema (disorder),46,DeathCause Pulmonary emphysema (disorder) nan,,,
1412,1403,"Patient, age 3, presented for routine well child visit. No procedures or medications administered. Noted that medication review is due.",2017-10-08,Sheilah526,2017-10-08,2017-10-08,27,wellness,410620009,Well child visit (procedure),136.8,347.38,247.38,,,3,"Height 52.8 cm, PainScore 1.0 {score}, Weight 3.8 kg, WtForLength 13.9 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 35.6 cm, DBP 75.0 mm[Hg], SBP 106.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, AutoWBCCount 7.5 10*3/uL, AutoRBCCount 4.9 10*6/uL, BloodHgb 14.3 g/dL, AutoHct 48.3 %, AutoMCV 82.4 fL, MCH 28.0 pg, MCHC 33.8 g/dL, RDWv 41.2 fL, PlateletCount 163.6 10*3/uL, PDW 286.7 fL, MPV 12.0 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
1413,1404,"Routine well child visit with no reported issues, medications, or procedures.",2017-10-08,Sheilah526,2017-11-12,2017-11-12,27,wellness,410620009,Well child visit (procedure),136.8,272.8,272.8,,,3,"Height 56.4 cm, PainScore 2.0 {score}, Weight 4.5 kg, WtForLength 14.1 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 38.8 cm, DBP 75.0 mm[Hg], SBP 109.0 mm[Hg], HR 86.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
1414,1405,Continued routine well child visit without concerns or interventions.,2017-10-08,Sheilah526,2018-01-14,2018-01-14,27,wellness,410620009,Well child visit (procedure),136.8,816.8,816.8,,,3,"Height 61.6 cm, PainScore 1.0 {score}, Weight 5.8 kg, WtForLength 9.9 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 41.2 cm, DBP 75.0 mm[Hg], SBP 112.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
1415,1408,,2017-10-08,Sheilah526,2018-03-18,2018-03-18,27,wellness,410620009,Well child visit (procedure),136.8,1032.5,1032.5,,,3,"Height 65.6 cm, PainScore 0.0 {score}, Weight 6.9 kg, WtForLength 18.3 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 42.8 cm, DBP 76.0 mm[Hg], SBP 106.0 mm[Hg], HR 73.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1416,1410,Medication reconciliation performed. Medication review remains due. No active medications recorded.,2017-10-08,Sheilah526,2018-06-17,2018-06-17,27,wellness,410620009,Well child visit (procedure),136.8,1679.6,1679.6,,,3,"Height 70.5 cm, PainScore 3.0 {score}, Weight 8.3 kg, WtForLength 31.5 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 44.4 cm, DBP 75.0 mm[Hg], SBP 104.0 mm[Hg], HR 97.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1417,1413,Well child visit with medication reconciliation and reminder for upcoming medication review.,2017-10-08,Sheilah526,2018-09-16,2018-09-16,27,wellness,410620009,Well child visit (procedure),136.8,868.52,868.52,,,3,"Height 74.5 cm, PainScore 0.0 {score}, Weight 9.3 kg, WtForLength 36.5 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 45.6 cm, DBP 74.0 mm[Hg], SBP 108.0 mm[Hg], HR 96.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1418,1414,Routine medication reconciliation performed during well child visit; medication review due.,2017-10-08,Sheilah526,2018-12-16,2018-12-16,27,wellness,410620009,Well child visit (procedure),136.8,1032.5,932.5,,,3,"Height 78.1 cm, PainScore 3.0 {score}, Weight 10.1 kg, WtForLength 43.1 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 46.4 cm, DBP 73.0 mm[Hg], SBP 111.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1419,1417,"Patient presented with otitis media symptoms, treated with Amoxicillin 500mg and Ibuprofen 100mg.",2017-10-08,Sheilah526,2019-03-02,2019-03-02,27,outpatient,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,65363002.0,Otitis media (disorder),3,,OM,"Amoxicillin 500mg tab, Ibuprofen 100mg tab",
1420,1418,Medication reconciliation completed during well child visit; medication review remains due.,2017-10-08,Sheilah526,2019-03-17,2019-03-17,27,wellness,410620009,Well child visit (procedure),136.8,1037.27,1037.27,,,3,"Height 81.3 cm, PainScore 0.0 {score}, Weight 10.8 kg, WtForLength 44.9 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 47.1 cm, DBP 73.0 mm[Hg], SBP 104.0 mm[Hg], HR 97.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,Med rec
1421,1421,Well child visit completed; medication review noted as due.,2017-10-08,Sheilah526,2019-09-15,2019-09-15,27,wellness,410620009,Well child visit (procedure),136.8,272.8,272.8,,,3,"Height 87.0 cm, PainScore 1.0 {score}, Weight 11.9 kg, WtForLength 35.7 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 48.1 cm, DBP 73.0 mm[Hg], SBP 112.0 mm[Hg], HR 69.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
1422,1422,Medication reconciliation performed during routine well child appointment.,2017-10-08,Sheilah526,2020-03-15,2020-03-15,27,wellness,410620009,Well child visit (procedure),136.8,803.98,703.98,,,3,"Height 91.3 cm, PainScore 4.0 {score}, Weight 12.8 kg, WtForLength 36.6 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 48.9 cm, BMI 15.4 kg/m2, BMIPercentile 29.4 %, DBP 71.0 mm[Hg], SBP 109.0 mm[Hg], HR 83.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1423,1423,Continued follow-up in well child visit with medication review due.,2017-10-08,Sheilah526,2020-09-13,2020-09-13,27,wellness,410620009,Well child visit (procedure),136.8,272.8,272.8,,,3,"Height 95.5 cm, PainScore 2.0 {score}, Weight 13.7 kg, WtForLength 28.2 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 49.4 cm, BMI 15.0 kg/m2, BMIPercentile 25.8 %, DBP 75.0 mm[Hg], SBP 110.0 mm[Hg], HR 65.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
1424,1424,Well child visit included referral to dental services for further evaluation.,2017-10-08,Sheilah526,2021-03-14,2021-03-14,27,wellness,410620009,Well child visit (procedure),136.8,568.2,468.2,,,3,"Height 99.0 cm, PainScore 0.0 {score}, Weight 14.4 kg, WtForLength 31.5 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 49.4 cm, BMI 14.6 kg/m2, BMIPercentile 21.4 %, DBP 76.0 mm[Hg], SBP 92.0 mm[Hg], HR 67.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Dental referral
1425,1425,"Comprehensive dental evaluation performed with cleaning, fluoride application, and oral health education.",2017-10-08,Sheilah526,2021-03-21,2021-03-21,27,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,3055.35,103697008.0,Patient referral for dental care (procedure),3,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1426,1426,Patient evaluated for symptoms of strep throat. Throat culture performed; prescribed Penicillin VK 250mg.,2017-10-08,Sheilah526,2021-03-23,2021-03-23,27,ambulatory,185345009,Encounter for symptom (procedure),85.55,2552.81,2502.81,43878008.0,Streptococcal sore throat (disorder),3,BodyTemp 38.6 Cel,Strep throat,PCN VK 250mg tab,Throat culture
1427,1427,Follow-up visit for strep throat management. Continued on Penicillin VK 250mg.,2017-10-08,Sheilah526,2021-08-05,2021-08-05,27,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,43878008.0,Streptococcal sore throat (disorder),3,BodyTemp 38.1 Cel,Strep throat,PCN VK 250mg tab,
1428,1428,Routine well child check up without additional interventions.,2017-10-08,Sheilah526,2021-09-12,2021-09-12,27,wellness,410620009,Well child visit (procedure),136.8,272.8,272.8,,,3,"Height 102.5 cm, PainScore 3.0 {score}, Weight 15.1 kg, WtForLength 31.5 %, HeadCircumferencePercentile 70.0 %, HeadCircumference 49.4 cm, BMI 14.3 kg/m2, BMIPercentile 17.5 %, DBP 75.0 mm[Hg], SBP 109.0 mm[Hg], HR 93.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,
1429,1429,Medication reconciliation done at annual well child visit.,2017-10-08,Sheilah526,2022-09-18,2022-09-18,27,wellness,410620009,Well child visit (procedure),136.8,1679.6,1579.6,,,4,"Height 109.6 cm, PainScore 1.0 {score}, Weight 17.7 kg, BMI 14.7 kg/m2, BMIPercentile 36.0 %, DBP 76.0 mm[Hg], SBP 99.0 mm[Hg], HR 65.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1430,1430,Presented with otitis media symptoms at age 5. Treated with Amoxicillin 500mg and Ibuprofen 100mg.,2017-10-08,Sheilah526,2022-10-26,2022-10-26,27,outpatient,185345009,Encounter for symptom (procedure),85.55,85.55,35.55,65363002.0,Otitis media (disorder),5,,OM,"Amoxicillin 500mg tab, Ibuprofen 100mg tab",
1431,1432,Annual well child visit with medication review noted as due.,2017-10-08,Sheilah526,2023-09-24,2023-09-24,27,wellness,410620009,Well child visit (procedure),136.8,347.38,347.38,,,5,"Height 116.9 cm, PainScore 3.0 {score}, Weight 21.3 kg, BMI 15.6 kg/m2, BMIPercentile 60.6 %, DBP 65.0 mm[Hg], SBP 103.0 mm[Hg], HR 88.0 /min, RR 14.0 /min, AutoWBCCount 7.7 10*3/uL, AutoRBCCount 5.4 10*6/uL, BloodHgb 14.5 g/dL, AutoHct 48.5 %, AutoMCV 84.3 fL, MCH 27.3 pg, MCHC 33.7 g/dL, RDWv 42.8 fL, PlateletCount 440.6 10*3/uL, PDW 335.8 fL, MPV 12.1 fL, SmokingStatus Never smoked tobacco (finding) nan",Med review due,,
1432,1436,Patient diagnosed with viral sinusitis; no medications prescribed at this time.,2017-10-08,Sheilah526,2024-02-10,2024-02-10,27,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),6,,Viral sinusitis,,
1433,1438,Medication reconciliation performed during routine well child visit.,2017-10-08,Sheilah526,2024-09-29,2024-09-29,27,wellness,410620009,Well child visit (procedure),136.8,1135.6,1071.15,,,6,"Height 123.8 cm, PainScore 3.0 {score}, Weight 24.6 kg, BMI 16.0 kg/m2, BMIPercentile 63.3 %, DBP 75.0 mm[Hg], SBP 106.0 mm[Hg], HR 76.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,,Med rec
1434,1431,General examination performed; patient is 18 years old with history of higher education.,1979-10-29,Cherelle538,1997-12-22,1997-12-22,28,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,Higher ed,,
1435,1433,Prenatal visit conducted at age 22. Patient has a history of miscarriage; close monitoring recommended.,1979-10-29,Cherelle538,2002-05-18,2002-05-18,28,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,0.0,35999006.0,Blighted ovum (disorder),22,,H/o miscarriage,,
1436,1434,"General examination performed; patient is 28, full-time employed. Medication review due.",1979-10-29,Cherelle538,2008-01-07,2008-01-07,28,wellness,162673000,General examination of patient (procedure),136.8,778.78,260.93,,,28,,"Med review due, Full-time employed",,
1437,1435,"General exam identified prediabetes, anemia, and obesity (BMI>30). Patient counseled on lifestyle modifications.",1979-10-29,Cherelle538,2011-01-10,2011-01-10,28,wellness,162673000,General examination of patient (procedure),136.8,1053.0,842.39,,,31,,"Prediabetes, Anemia, Obesity BMI>30",,
1438,1437,Patient reports stress at age 34; general examination completed with recommendation for stress management.,1979-10-29,Cherelle538,2014-01-13,2014-01-13,28,wellness,162673000,General examination of patient (procedure),136.8,934.74,747.78,,,34,,Stress,,
1439,1439,Admitted to surgical department at 35 years old; history of tubal pathology noted.,1979-10-29,Cherelle538,2014-12-03,2014-12-04,28,inpatient,305408004,Admission to surgical department (procedure),146.18,3817.64,2346.9,183996000.0,Sterilization requested (situation),35,,H/o tubal,,
1440,1440,Subcutaneous contraceptive removed and new implant inserted successfully.,1979-10-29,Cherelle538,2015-12-21,2015-12-21,28,outpatient,308335008,Patient encounter procedure (procedure),142.58,13747.95,9831.96,389095005.0,Contraception care (regime/therapy),36,,,,"SC contraceptive removal, SC contraceptive insert"
1441,1441,Presented with sore throat; throat culture performed and diagnosed with acute viral pharyngitis.,1979-10-29,Cherelle538,2016-07-14,2016-07-14,28,ambulatory,185345009,Encounter for symptom (procedure),85.55,1076.33,861.06,195662009.0,Acute viral pharyngitis (disorder),36,BodyTemp 37.5 Cel,Acute viral pharyngitis,,Throat culture
1442,1442,Patient presented with symptoms of viral sinusitis; supportive treatment recommended.,1979-10-29,Cherelle538,2016-11-21,2016-11-21,28,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),37,,Viral sinusitis,,
1443,1443,"Comprehensive assessment for health and social needs, depression, substance use; dental referral made.",1979-10-29,Cherelle538,2017-01-16,2017-01-16,28,wellness,162673000,General examination of patient (procedure),136.8,860.16,0.0,,,37,"HbA1c 6.2 %, Height 166.4 cm, PainScore 3.0 {score}, Weight 78.5 kg, BMI 28.4 kg/m2, DBP 83.0 mm[Hg], SBP 129.0 mm[Hg], HR 82.0 /min, RR 13.0 /min, BloodGlucose 99.7 mg/dL, BloodBUN 9.2 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 136.2 mmol/L, BloodK 4.1 mmol/L, BloodChloride 103.4 mmol/L, TotalCO2Blood 22.9 mmol/L, TotalCholesterol 177.4 mg/dL, HDL 51.9 mg/dL, SmokingStatus Never smoked tobacco (finding) nan",,,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1444,1444,Urgent care visit at age 37; no additional procedures or medications reported.,1979-10-29,Cherelle538,2017-01-23,2017-01-23,28,urgentcare,702927004,Urgent care clinic (environment),142.58,278.58,0.0,,,37,HbA1c 6.0 %,,,
1445,1445,Routine check-up with medication reconciliation and mental health assessments; gingivitis diagnosed and dental referral continued.,1979-10-29,Cherelle538,2017-01-30,2017-01-30,28,outpatient,185349003,Encounter for check up (procedure),85.55,1134.76,720.84,,,37,"HbA1c 6.3 %, Height 166.4 cm, PainScore 1.0 {score}, Weight 78.6 kg, BMI 28.4 kg/m2, DBP 83.0 mm[Hg], SBP 114.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, BloodGlucose 97.2 mg/dL, BloodBUN 17.7 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.4 mg/dL, BloodNa 137.9 mmol/L, BloodK 4.5 mmol/L, BloodChloride 108.8 mmol/L, TotalCO2Blood 27.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1446,1446,Presented with acute bronchitis; pulmonary function test performed; prescribed APAP 325mg.,1979-10-29,Cherelle538,2017-02-06,2017-02-06,28,ambulatory,185345009,Encounter for symptom (procedure),85.55,127.65,102.12,10509002.0,Acute bronchitis (disorder),37,,Acute bronchitis,APAP 325mg tab,PFT
1447,1447,"Dental consult and treatment provided including scaling, bitewing x-rays, fluoride application, and oral health education; prescribed NaF 2.72% oral gel.",1979-10-29,Cherelle538,2017-02-13,2017-02-13,28,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),37,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1448,1448,Routine general exam with multiple mental health screenings and dental referral; gingivitis present; medication review pending.,1979-10-29,Cherelle538,2019-11-04,2019-11-04,28,wellness,162673000,General examination of patient (procedure),136.8,996.16,0.0,,,40,"HbA1c 6.2 %, Height 166.4 cm, PainScore 0.0 {score}, Weight 83.6 kg, BMI 30.2 kg/m2, DBP 84.0 mm[Hg], SBP 127.0 mm[Hg], HR 87.0 /min, RR 12.0 /min, BloodGlucose 80.9 mg/dL, BloodBUN 14.3 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 8.6 mg/dL, BloodNa 140.7 mmol/L, BloodK 4.9 mmol/L, BloodChloride 110.9 mmol/L, TotalCO2Blood 21.2 mmol/L, AutoWBCCount 5.8 10*3/uL, AutoRBCCount 4.1 10*6/uL, BloodHgb 14.7 g/dL, AutoHct 42.2 %, AutoMCV 88.4 fL, MCH 31.7 pg, MCHC 35.3 g/dL, RDWv 44.0 fL, PlateletCount 405.2 10*3/uL, PDW 423.5 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis",,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1449,1449,"Dental checkup revealed dental caries; treatment included scaling, restorations with full cusp coverage, fluoride application; NaF 2.72% oral gel prescribed.",1979-10-29,Cherelle538,2019-11-18,2019-11-18,28,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,0.0,66383009.0,Gingivitis (disorder),40,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Dental fluoride, Oral health ed"
1450,1450,Subcutaneous contraceptive implant removed and replaced successfully.,1979-10-29,Cherelle538,2019-12-23,2019-12-23,28,outpatient,308335008,Patient encounter procedure (procedure),142.58,11316.94,6190.32,389095005.0,Contraception care (regime/therapy),40,,,,"SC contraceptive removal, SC contraceptive insert"
1451,1451,Patient presented with symptoms consistent with acute viral pharyngitis; conservative management advised.,1979-10-29,Cherelle538,2020-04-09,2020-04-09,28,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,85.55,195662009.0,Acute viral pharyngitis (disorder),40,BodyTemp 37.4 Cel,Acute viral pharyngitis,,
1452,1452,Vaccination administered to produce active immunity at age 41.,1979-10-29,Cherelle538,2021-05-24,2021-05-24,28,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,41,,,,
1453,1453,Second vaccine dose administered for active immunity.,1979-10-29,Cherelle538,2021-06-21,2021-06-21,28,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,41,,,,
1454,1454,General examination with multiple health screenings; diagnosed with hyperlipidemia and gingivitis; medication reconciliation completed.,1979-10-29,Cherelle538,2021-11-08,2021-11-08,28,wellness,162673000,General examination of patient (procedure),136.8,1949.22,392.98,,,42,"HbA1c 6.3 %, TotalCholesterol 248.5 mg/dL, HDL 62.6 mg/dL, BloodGlucose 88.2 mg/dL, BloodBUN 15.5 mg/dL, BloodCreatinine 3.4 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.9 mmol/L, BloodK 4.0 mmol/L, BloodChloride 110.6 mmol/L, TotalCO2Blood 21.5 mmol/L, MDRDGFR 72.4 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 5.0 g/dL, SerumGlobulin 2.7 g/L, TotalBilirubin 0.5 mg/dL, AlkPhosActivity 68.2 U/L, ALT 31.4 U/L, AST 10.5 U/L, Height 166.4 cm, PainScore 0.0 {score}, Weight 78.1 kg, BMI 28.2 kg/m2, DBP 83.0 mm[Hg], SBP 124.0 mm[Hg], HR 91.0 /min, RR 16.0 /min, BloodGlucose 88.2 mg/dL, BloodBUN 15.5 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.9 mmol/L, BloodK 4.0 mmol/L, BloodChloride 110.6 mmol/L, TotalCO2Blood 21.5 mmol/L, TotalCholesterol 191.0 mg/dL, HDL 50.0 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","HLD, Gingivitis",,"Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1455,1455,Dental checkup with various procedures and oral health education provided.,1979-10-29,Cherelle538,2021-11-22,2021-11-22,28,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),42,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1456,1456,Follow-up visit; prescribed Simvastatin 10mg for hyperlipidemia management.,1979-10-29,Cherelle538,2021-11-29,2021-11-29,28,ambulatory,390906007,Follow-up encounter (procedure),85.55,85.55,68.44,55822004.0,Hyperlipidemia (disorder),42,,,Simvastatin 10mg tab,
1457,1457,Follow-up at 43 years; continuing Simvastatin 10mg therapy.,1979-10-29,Cherelle538,2022-11-29,2022-11-29,28,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,0.0,55822004.0,Hyperlipidemia (disorder),43,"BloodGlucose 83.3 mg/dL, BloodBUN 17.5 mg/dL, BloodCreatinine 2.8 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 138.1 mmol/L, BloodK 4.8 mmol/L, BloodChloride 101.8 mmol/L, TotalCO2Blood 21.4 mmol/L, MDRDGFR 75.9 mL/min, SerumProtein 6.5 g/dL, AlbuminMass 4.0 g/dL, SerumGlobulin 2.2 g/L, TotalBilirubin 0.3 mg/dL, AlkPhosActivity 85.0 U/L, ALT 43.7 U/L, AST 36.7 U/L, TotalCholesterol 174.1 mg/dL, HDL 63.9 mg/dL",,Simvastatin 10mg tab,
1458,1458,General examination identified gingivitis and stress; multiple assessments conducted; medication review pending.,1979-10-29,Cherelle538,2023-11-13,2023-11-13,28,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,44,"HbA1c 6.1 %, Height 166.4 cm, PainScore 3.0 {score}, Weight 81.8 kg, BMI 29.6 kg/m2, DBP 83.0 mm[Hg], SBP 128.0 mm[Hg], HR 65.0 /min, RR 14.0 /min, BloodGlucose 71.8 mg/dL, BloodBUN 8.9 mg/dL, BloodCreatinine 1.4 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 143.0 mmol/L, BloodK 4.4 mmol/L, BloodChloride 102.6 mmol/L, TotalCO2Blood 27.9 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, Gingivitis",,"Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess, Dental referral"
1459,1463,Dental consultation and oral hygiene procedures performed; patient educated on oral health.,1979-10-29,Cherelle538,2023-11-27,2023-11-27,28,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,1595.78,66383009.0,Gingivitis (disorder),44,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1460,1472,Follow-up visit with continuation of Simvastatin 10mg.,1979-10-29,Cherelle538,2023-11-29,2023-11-29,28,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,187.76,55822004.0,Hyperlipidemia (disorder),44,"BloodGlucose 81.6 mg/dL, BloodBUN 18.6 mg/dL, BloodCreatinine 3.2 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 141.8 mmol/L, BloodK 3.9 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 20.7 mmol/L, MDRDGFR 81.3 mL/min, SerumProtein 6.2 g/dL, AlbuminMass 5.0 g/dL, SerumGlobulin 3.5 g/L, TotalBilirubin 1.0 mg/dL, AlkPhosActivity 40.3 U/L, ALT 38.8 U/L, AST 26.4 U/L, TotalCholesterol 204.6 mg/dL, HDL 70.1 mg/dL",,Simvastatin 10mg tab,
1461,1474,SC contraceptive implant successfully removed and inserted during procedure.,1979-10-29,Cherelle538,2023-12-25,2023-12-25,28,outpatient,308335008,Patient encounter procedure (procedure),142.58,15867.31,12693.84,389095005.0,Contraception care (regime/therapy),44,,,,"SC contraceptive removal, SC contraceptive insert"
1462,1475,Continued follow-up visit; patient remains on Simvastatin 10mg.,1979-10-29,Cherelle538,2024-11-28,2024-11-28,28,ambulatory,390906007,Follow-up encounter (procedure),85.55,234.71,0.0,55822004.0,Hyperlipidemia (disorder),45,"BloodGlucose 71.4 mg/dL, BloodBUN 10.2 mg/dL, BloodCreatinine 3.1 mg/dL, BloodCalcium 9.9 mg/dL, BloodNa 140.0 mmol/L, BloodK 3.8 mmol/L, BloodChloride 111.0 mmol/L, TotalCO2Blood 28.4 mmol/L, MDRDGFR 75.3 mL/min, SerumProtein 7.1 g/dL, AlbuminMass 4.1 g/dL, SerumGlobulin 2.5 g/L, TotalBilirubin 0.1 mg/dL, AlkPhosActivity 76.4 U/L, ALT 21.7 U/L, AST 24.5 U/L, TotalCholesterol 191.6 mg/dL, HDL 42.5 mg/dL",,Simvastatin 10mg tab,
1463,1459,General examination performed on an 18-year-old patient with no medications or conditions reported. Patient noted to have higher education.,1944-12-23,Elias404,1963-02-17,1963-02-17,29,wellness,162673000,General examination of patient (procedure),136.8,704.2,589.75,,,18,,Higher ed,,
1464,1460,Patient aged 37 was examined; obesity with BMI over 30 identified. No medications prescribed at this time.,1944-12-23,Elias404,1982-03-14,1982-03-14,29,wellness,162673000,General examination of patient (procedure),136.8,778.78,628.78,,,37,,Obesity BMI>30,,
1465,1461,"At age 40, patient evaluated showing prediabetes and anemia without current medications; monitoring recommended.",1944-12-23,Elias404,1984-12-30,1984-12-30,29,wellness,162673000,General examination of patient (procedure),136.8,923.8,773.8,,,40,,"Prediabetes, Anemia",,
1466,1462,Patient encounter for anemia; Ferrous sulfate 325mg tab prescribed to address iron deficiency.,1944-12-23,Elias404,1985-01-06,1985-01-06,29,ambulatory,185347001,Encounter for problem (procedure),85.55,1706.26,0.0,271737000.0,Anemia (disorder),40,,,Ferrous sulfate 325mg tab,
1467,1464,General exam at 44 revealed hypertension; no new medications noted.,1944-12-23,Elias404,1989-01-08,1989-01-08,29,wellness,162673000,General examination of patient (procedure),136.8,1008.08,858.08,,,44,,HTN,,
1468,1465,Patient presented with sleep disorder symptoms at 47 years old; further sleep assessment advised.,1944-12-23,Elias404,1992-12-12,1992-12-12,29,ambulatory,185345009,Encounter for symptom (procedure),85.55,948.35,0.0,39898005.0,Sleep disorder (disorder),47,,Sleep d/o,,
1469,1466,Diagnosis of obstructive sleep apnea confirmed at 48; treatment plan to be reviewed.,1944-12-23,Elias404,1993-01-01,1993-01-02,29,inpatient,185347001,Encounter for problem (procedure),87.71,966.87,931.87,39898005.0,Sleep disorder (disorder),48,,OSA,,
1470,1467,"At 49, examination showed features of metabolic syndrome; lifestyle modifications recommended.",1944-12-23,Elias404,1994-02-06,1994-02-06,29,wellness,162673000,General examination of patient (procedure),136.8,1057.17,1022.17,,,49,,MetS,,
1471,1468,"62-year-old with ischemic heart disease using multiple cardio medications including clopidogrel, simvastatin, metoprolol ER, and nitroglycerin spray.",1944-12-23,Elias404,2007-04-22,2007-04-22,29,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,62,,IHD,"Clopidogrel 75mg tab, Simvastatin 20mg tab, 24hr Metoprolol 100mg ER tab, NTG 0.4mg/act spray",
1472,1469,Abnormal cardiac imaging noted at 62 indicating possible ischemic changes; ongoing cardiology follow-up required.,1944-12-23,Elias404,2007-05-04,2007-05-04,29,ambulatory,185347001,Encounter for problem (procedure),85.55,1444.46,0.0,414545008.0,Ischemic heart disease (disorder),62,,Abn cardiac img,,
1473,1470,Patient aged 68 examined; currently not in workforce. No new medical issues reported.,1944-12-23,Elias404,2013-05-26,2013-05-26,29,wellness,162673000,General examination of patient (procedure),136.8,1216.98,0.0,,,68,,Not in workforce,,
1474,1471,"69-year-old patient on antihypertensive regimen including HCTZ, lisinopril, and amlodipine.",1944-12-23,Elias404,2014-06-01,2014-06-01,29,wellness,162673000,General examination of patient (procedure),136.8,1507.26,0.0,,,69,,,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1475,1473,"Comprehensive 70-year-old exam including medication reconciliation and multiple assessments (sleep apnea, anxiety, substance use). Gingivitis noted and dental referral made.",1944-12-23,Elias404,2015-06-07,2015-06-07,29,wellness,162673000,General examination of patient (procedure),136.8,1975.0,0.0,,,70,"HbA1c 6.2 %, Height 178.1 cm, PainScore 2.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 75.0 mm[Hg], SBP 90.0 mm[Hg], HR 60.0 /min, RR 14.0 /min, BloodGlucose 64.9 mg/dL, BloodBUN 7.5 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.2 mg/dL, BloodNa 139.7 mmol/L, BloodK 5.1 mmol/L, BloodChloride 107.5 mmol/L, TotalCO2Blood 20.3 mmol/L, AutoWBCCount 9.4 10*3/uL, AutoRBCCount 5.1 10*6/uL, BloodHgb 14.7 g/dL, AutoHct 43.2 %, AutoMCV 80.6 fL, MCH 31.7 pg, MCHC 34.9 g/dL, RDWv 39.3 fL, PlateletCount 197.4 10*3/uL, PDW 412.9 fL, MPV 10.5 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Gingivitis","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Sleep apnea assess, Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral"
1476,1476,70-year-old underwent dental consult and prophylactic care including scaling and oral health education.,1944-12-23,Elias404,2015-06-21,2015-06-21,29,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,66383009.0,Gingivitis (disorder),70,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1477,1477,Home health referral initiated for patient at 71 years old.,1944-12-23,Elias404,2016-05-29,2016-05-29,29,urgentcare,308335008,Patient encounter procedure (procedure),142.58,573.98,538.98,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,HH referral
1478,1478,Initial home visit assessment with comprehensive evaluation and individualized care planning.,1944-12-23,Elias404,2016-05-29,2016-05-29,29,home,439708006,Home visit (procedure),128.53,1854.13,1819.13,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,"Initial assess, Comp eval, Indiv care plan, Care plan coord"
1479,1479,Ongoing nursing care provided during home visit.,1944-12-23,Elias404,2016-05-30,2016-05-30,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1480,1480,Continued nursing care delivered at home.,1944-12-23,Elias404,2016-05-31,2016-05-31,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1481,1481,Nursing services maintained during home visits.,1944-12-23,Elias404,2016-06-01,2016-06-01,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1482,1482,Occupational therapy service provided during home visit.,1944-12-23,Elias404,2016-06-02,2016-06-02,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,OT
1483,1483,Further nursing care administered in home setting.,1944-12-23,Elias404,2016-06-03,2016-06-03,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1484,1484,Home nursing care continued.,1944-12-23,Elias404,2016-06-04,2016-06-04,29,home,439708006,Home visit (procedure),128.53,559.93,524.93,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1485,1485,"At 71, patient undergoes comprehensive assessments including sleep apnea and substance use screening; medication review due; employed full-time.",1944-12-23,Elias404,2016-06-12,2016-06-12,29,wellness,162673000,General examination of patient (procedure),136.8,1654.24,0.0,,,71,"HbA1c 6.3 %, Height 178.1 cm, PainScore 0.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 78.0 mm[Hg], SBP 93.0 mm[Hg], HR 71.0 /min, RR 14.0 /min, BloodGlucose 84.5 mg/dL, BloodBUN 15.3 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 140.4 mmol/L, BloodK 4.8 mmol/L, BloodChloride 102.8 mmol/L, TotalCO2Blood 23.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Sleep apnea assess, Health/social needs assess, Substance use assess, AUDIT-C assess"
1486,1486,Nursing support ongoing during home visits.,1944-12-23,Elias404,2016-06-19,2016-06-19,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1487,1487,Nursing care sessions continued.,1944-12-23,Elias404,2016-06-20,2016-06-20,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1488,1488,Physical therapy provided during home visit.,1944-12-23,Elias404,2016-06-21,2016-06-21,29,home,439708006,Home visit (procedure),128.53,446.7,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1489,1489,Home nursing care continued.,1944-12-23,Elias404,2016-06-22,2016-06-22,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1490,1490,Additional nursing care delivered in home.,1944-12-23,Elias404,2016-06-23,2016-06-23,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1491,1491,Home health aide service provided.,1944-12-23,Elias404,2016-06-24,2016-06-24,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,HHA service
1492,1492,Continued physical therapy treatments at home.,1944-12-23,Elias404,2016-06-25,2016-06-25,29,home,439708006,Home visit (procedure),128.53,991.33,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1493,1493,Ongoing nursing care in home.,1944-12-23,Elias404,2016-06-26,2016-06-26,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1494,1494,Persistent nursing services continued.,1944-12-23,Elias404,2016-06-27,2016-06-27,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1495,1495,Physical therapy ongoing during home visits.,1944-12-23,Elias404,2016-06-28,2016-06-28,29,home,439708006,Home visit (procedure),128.53,629.34,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1496,1496,Speech therapy initiated in home care setting.,1944-12-23,Elias404,2016-06-29,2016-06-29,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Speech therapy
1497,1497,Further nursing care administered.,1944-12-23,Elias404,2016-06-30,2016-06-30,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1498,1498,Additional physical therapy sessions performed.,1944-12-23,Elias404,2016-07-01,2016-07-01,29,home,439708006,Home visit (procedure),128.53,487.11,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1499,1499,Home health aide services maintained.,1944-12-23,Elias404,2016-07-02,2016-07-02,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,HHA service
1500,1500,Ongoing home nursing care.,1944-12-23,Elias404,2016-07-03,2016-07-03,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1501,1501,Continued nursing visits in home.,1944-12-23,Elias404,2016-07-04,2016-07-04,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1502,1502,Physical therapy continued.,1944-12-23,Elias404,2016-07-05,2016-07-05,29,home,439708006,Home visit (procedure),128.53,344.23,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1503,1503,Additional physical therapy care.,1944-12-23,Elias404,2016-07-06,2016-07-06,29,home,439708006,Home visit (procedure),128.53,344.23,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1504,1504,More PT sessions completed.,1944-12-23,Elias404,2016-07-07,2016-07-07,29,home,439708006,Home visit (procedure),128.53,980.36,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1505,1505,Further physical therapy treatments provided.,1944-12-23,Elias404,2016-07-08,2016-07-08,29,home,439708006,Home visit (procedure),128.53,344.23,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1506,1506,Nursing care ongoing at home.,1944-12-23,Elias404,2016-07-09,2016-07-09,29,home,439708006,Home visit (procedure),128.53,559.93,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,Nursing care
1507,1507,Physical therapy maintained.,1944-12-23,Elias404,2016-07-10,2016-07-10,29,home,439708006,Home visit (procedure),128.53,463.74,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1508,1508,Physical therapy sessions continued.,1944-12-23,Elias404,2016-07-11,2016-07-11,29,home,439708006,Home visit (procedure),128.53,344.23,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,PT
1509,1509,Nursing care continued with patient discharge planning.,1944-12-23,Elias404,2016-07-12,2016-07-12,29,home,439708006,Home visit (procedure),128.53,991.33,0.0,1871000124103.0,Transition from acute care to home-health care (finding),71,,,,"Nursing care, Pt d/c"
1510,1510,71-year-old received check up with multiple assessments and medication reconciliation; stress noted.,1944-12-23,Elias404,2016-11-13,2016-11-13,29,outpatient,185349003,Encounter for check up (procedure),85.55,1300.77,0.0,,,71,"HbA1c 6.3 %, Height 178.1 cm, PainScore 4.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 73.0 mm[Hg], SBP 95.0 mm[Hg], HR 66.0 /min, RR 15.0 /min, BloodGlucose 78.6 mg/dL, BloodBUN 11.0 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 137.0 mmol/L, BloodK 4.9 mmol/L, BloodChloride 107.9 mmol/L, TotalCO2Blood 21.6 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Morse fall assess, Substance use assess, AUDIT-C assess"
1511,1511,Presented with acute bronchitis; pulmonary function test completed and APAP prescribed.,1944-12-23,Elias404,2016-11-20,2016-11-20,29,ambulatory,185345009,Encounter for symptom (procedure),85.55,120.06,0.0,10509002.0,Acute bronchitis (disorder),71,,Acute bronchitis,APAP 325mg tab,PFT
1512,1512,72-year-old patient underwent extensive screening assessments including depression and domestic abuse; history includes criminal record.,1944-12-23,Elias404,2017-06-18,2017-06-18,29,wellness,162673000,General examination of patient (procedure),136.8,1148.76,1148.76,,,72,"HbA1c 6.1 %, Height 178.1 cm, PainScore 3.0 {score}, Weight 95.1 kg, BMI 30.0 kg/m2, DBP 71.0 mm[Hg], SBP 91.0 mm[Hg], HR 80.0 /min, RR 12.0 /min, BloodGlucose 73.9 mg/dL, BloodBUN 18.8 mg/dL, BloodCreatinine 0.9 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 137.3 mmol/L, BloodK 3.7 mmol/L, BloodChloride 103.6 mmol/L, TotalCO2Blood 26.2 mmol/L, TotalCholesterol 250.3 mg/dL, HDL 53.1 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Criminal record","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1513,1513,"At 73, patient screened for depression and domestic abuse; intimate partner violence (IPV) noted.",1944-12-23,Elias404,2018-06-24,2018-06-24,29,wellness,162673000,General examination of patient (procedure),136.8,1216.98,1216.98,,,73,"HbA1c 5.9 %, Height 178.1 cm, PainScore 3.0 {score}, Weight 87.9 kg, BMI 27.7 kg/m2, DBP 73.0 mm[Hg], SBP 96.0 mm[Hg], HR 100.0 /min, RR 14.0 /min, BloodGlucose 89.5 mg/dL, BloodBUN 15.9 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.3 mg/dL, BloodNa 142.5 mmol/L, BloodK 4.6 mmol/L, BloodChloride 102.6 mmol/L, TotalCO2Blood 27.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",IPV,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen"
1514,1514,Comprehensive assessments reveal social isolation and stress; medication reviewed and dental referral made.,1944-12-23,Elias404,2019-06-30,2019-06-30,29,wellness,162673000,General examination of patient (procedure),136.8,1425.88,0.0,,,74,"HbA1c 5.9 %, Height 178.1 cm, PainScore 3.0 {score}, Weight 89.9 kg, BMI 28.4 kg/m2, DBP 73.0 mm[Hg], SBP 91.0 mm[Hg], HR 72.0 /min, RR 12.0 /min, BloodGlucose 97.8 mg/dL, BloodBUN 7.5 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 9.6 mg/dL, BloodNa 142.2 mmol/L, BloodK 4.8 mmol/L, BloodChloride 105.9 mmol/L, TotalCO2Blood 29.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Social isolation, Stress","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Sleep apnea assess, Health/social needs assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1515,1515,"74-year-old received thorough dental care including cleaning, bitewing imaging, fluoride treatment, and oral health education.",1944-12-23,Elias404,2019-07-14,2019-07-14,29,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,0.0,103697008.0,Patient referral for dental care (procedure),74,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1516,1516,Extensive assessments performed at 75 with dental referral; gingivitis and medication review due.,1944-12-23,Elias404,2020-07-05,2020-07-05,29,wellness,162673000,General examination of patient (procedure),136.8,1870.34,1870.34,,,75,"HbA1c 6.4 %, Height 178.1 cm, PainScore 3.0 {score}, Weight 92.0 kg, BMI 29.0 kg/m2, DBP 77.0 mm[Hg], SBP 90.0 mm[Hg], HR 94.0 /min, RR 14.0 /min, BloodGlucose 76.0 mg/dL, BloodBUN 8.3 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 9.1 mg/dL, BloodNa 143.6 mmol/L, BloodK 4.0 mmol/L, BloodChloride 110.6 mmol/L, TotalCO2Blood 20.4 mmol/L, TotalCholesterol 203.4 mg/dL, HDL 51.1 mg/dL, AutoWBCCount 7.1 10*3/uL, AutoRBCCount 5.3 10*6/uL, BloodHgb 12.4 g/dL, AutoHct 40.7 %, AutoMCV 80.9 fL, MCH 27.8 pg, MCHC 34.7 g/dL, RDWv 44.9 fL, PlateletCount 192.4 10*3/uL, PDW 417.8 fL, MPV 9.6 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Gingivitis","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Sleep apnea assess, Health/social needs assess, Anxiety assess, Morse fall assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1517,1517,Dental treatment for caries and fracture restoration completed; continued fluoride treatment applied.,1944-12-23,Elias404,2020-07-19,2020-07-19,29,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3933.15,66383009.0,Gingivitis (disorder),75,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
1518,1518,"Vaccine administered to patient, contributing to active immunity.",1944-12-23,Elias404,2021-03-07,2021-03-07,29,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,243.58,,,76,,,,
1519,1519,Patient at 76 assessed for mental health and social needs with medications reviewed.,1944-12-23,Elias404,2021-07-11,2021-07-11,29,wellness,162673000,General examination of patient (procedure),136.8,1216.98,0.0,,,76,"HbA1c 6.2 %, Height 178.1 cm, PainScore 2.0 {score}, Weight 94.0 kg, BMI 29.6 kg/m2, DBP 71.0 mm[Hg], SBP 90.0 mm[Hg], HR 84.0 /min, RR 14.0 /min, BloodGlucose 72.8 mg/dL, BloodBUN 17.3 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 138.2 mmol/L, BloodK 4.3 mmol/L, BloodChloride 109.9 mmol/L, TotalCO2Blood 26.7 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1520,1520,77-year-old with mental health screenings noted to be unemployed and exposed to environmental violence.,1944-12-23,Elias404,2022-07-17,2022-07-17,29,wellness,162673000,General examination of patient (procedure),136.8,1216.98,1216.98,,,77,"HbA1c 6.4 %, Height 178.1 cm, PainScore 1.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 72.0 mm[Hg], SBP 97.0 mm[Hg], HR 88.0 /min, RR 15.0 /min, BloodGlucose 70.1 mg/dL, BloodBUN 9.1 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 8.7 mg/dL, BloodNa 140.4 mmol/L, BloodK 3.7 mmol/L, BloodChloride 106.3 mmol/L, TotalCO2Blood 22.8 mmol/L, SmokingStatus Never smoked tobacco (finding) nan","Unemployed, Enviro violence","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Morse fall assess, Depression screen, Depression screen"
1521,1521,78-year-old with stress and anxiety assessed for social needs and referred for dental care.,1944-12-23,Elias404,2023-07-23,2023-07-23,29,wellness,162673000,General examination of patient (procedure),136.8,1284.76,1284.76,,,78,"HbA1c 5.9 %, Height 178.1 cm, PainScore 1.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 71.0 mm[Hg], SBP 96.0 mm[Hg], HR 74.0 /min, RR 15.0 /min, BloodGlucose 67.3 mg/dL, BloodBUN 9.7 mg/dL, BloodCreatinine 1.0 mg/dL, BloodCalcium 8.9 mg/dL, BloodNa 142.8 mmol/L, BloodK 5.1 mmol/L, BloodChloride 110.8 mmol/L, TotalCO2Blood 24.8 mmol/L, TotalCholesterol 182.8 mg/dL, HDL 52.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Anxiety assess, Morse fall assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1522,1522,Completed multiple dental treatments including repair of composite restoration and fluoride application.,1944-12-23,Elias404,2023-08-06,2023-08-06,29,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3933.15,103697008.0,Patient referral for dental care (procedure),78,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
1523,1523,"At 79, patient continues screenings and remains employed full-time.",1944-12-23,Elias404,2024-07-28,2024-07-28,29,wellness,162673000,General examination of patient (procedure),136.8,1216.98,1116.98,,,79,"HbA1c 6.2 %, Height 178.1 cm, PainScore 1.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 74.0 mm[Hg], SBP 94.0 mm[Hg], HR 89.0 /min, RR 15.0 /min, BloodGlucose 97.2 mg/dL, BloodBUN 10.5 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.0 mg/dL, BloodNa 143.2 mmol/L, BloodK 4.9 mmol/L, BloodChloride 108.2 mmol/L, TotalCO2Blood 22.3 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Sleep apnea assess, Health/social needs assess, Morse fall assess, Domestic abuse screen, Substance use assess, AUDIT-C assess"
1524,1524,Presented at age 80 with acute bronchitis; pulmonary function tests done and APAP prescribed.,1944-12-23,Elias404,2025-02-07,2025-02-07,29,ambulatory,185345009,Encounter for symptom (procedure),85.55,340.92,305.92,10509002.0,Acute bronchitis (disorder),80,,Acute bronchitis,APAP 325mg tab,PFT
1525,1525,Urgent care visit for gingivitis and mental health screenings; medication reconciled.,1944-12-23,Elias404,2025-02-16,2025-02-16,29,urgentcare,702927004,Urgent care clinic (environment),142.58,1431.54,1396.54,,,80,"HbA1c 6.3 %, Height 178.1 cm, PainScore 2.0 {score}, Weight 95.7 kg, BMI 30.2 kg/m2, DBP 79.0 mm[Hg], SBP 93.0 mm[Hg], HR 65.0 /min, RR 14.0 /min, BloodGlucose 72.5 mg/dL, BloodBUN 14.0 mg/dL, BloodCreatinine 0.8 mg/dL, BloodCalcium 10.1 mg/dL, BloodNa 143.2 mmol/L, BloodK 4.7 mmol/L, BloodChloride 101.9 mmol/L, TotalCO2Blood 29.0 mmol/L, SmokingStatus Never smoked tobacco (finding) nan",Gingivitis,"HCTZ 25mg tab, Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Sleep apnea assess, Health/social needs assess, Morse fall assess, Depression screen, Depression screen, Dental referral"
1526,1526,Routine dental care including cleaning and exam performed.,1944-12-23,Elias404,2025-03-02,2025-03-02,29,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),80,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1527,1527,"General examination performed on an 18-year-old patient currently pursuing higher education. No procedures, medications, or conditions noted during this visit.",1990-11-22,Anh979,2009-01-15,2009-01-15,30,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,Higher ed,,
1528,1528,General examination conducted for a 19-year-old patient with a history of a criminal record. No procedures or medications prescribed during this visit.,1990-11-22,Anh979,2010-01-21,2010-01-21,30,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,19,,Criminal record,,
1529,1529," ""General examination for a 22-year-old patient who is part-time employed and has a history of intimate partner violence (IPV). No procedures or medications documented.""",1990-11-22,Anh979,2013-01-24,2013-01-24,30,wellness,162673000,General examination of patient (procedure),136.8,1513.68,0.0,,,22,,"Part-time employed, IPV",,
1530,1530,"At age 23, patient attended a treatment consultation and was prescribed Mirena 52mg intrauterine system (IUS) for contraception.",1990-11-22,Anh979,2014-08-20,2014-08-20,30,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),23,,,Mirena 52mg IUS,
1531,1531,Patient at age 24 had a treatment consultation and was prescribed Yaz 28-day oral contraceptive pack.,1990-11-22,Anh979,2015-08-18,2015-08-18,30,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),24,,,Yaz 28d pack,
1532,1532,"At 25 years old, underwent general examination including medication reconciliation, health and social needs assessment, domestic abuse screening, substance use assessment, and AUDIT-C for alcohol use. Patient is under stress and due for medication review.",1990-11-22,Anh979,2016-01-28,2016-01-28,30,wellness,162673000,General examination of patient (procedure),136.8,919.9,0.0,,,25,"Height 174.6 cm, PainScore 3.0 {score}, Weight 69.6 kg, BMI 22.8 kg/m2, DBP 81.0 mm[Hg], SBP 95.0 mm[Hg], HR 76.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress",,"Med rec, Health/social needs assess, Domestic abuse screen, Substance use assess, AUDIT-C assess"
1533,1533,Symptom evaluation at age 25 revealed viral sinusitis without additional procedures or medications prescribed at the time.,1990-11-22,Anh979,2016-11-03,2016-11-03,30,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),25,,Viral sinusitis,,
1534,1534,"At 27, patient received treatment consultation with Natazia 28-day contraceptive pack prescribed.",1990-11-22,Anh979,2018-08-02,2018-08-02,30,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),27,,,Natazia 28d pack,
1535,1535,"General examination at age 28 included medication reconciliation, health/social needs assessment, dual depression screening, substance use, and AUDIT-C assessments. Patient due for medication review and currently not in the workforce.",1990-11-22,Anh979,2019-01-31,2019-01-31,30,wellness,162673000,General examination of patient (procedure),136.8,994.48,0.0,,,28,"Height 174.6 cm, PainScore 1.0 {score}, Weight 74.5 kg, BMI 24.4 kg/m2, DBP 81.0 mm[Hg], SBP 90.0 mm[Hg], HR 61.0 /min, RR 15.0 /min, AutoWBCCount 4.4 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 15.5 g/dL, AutoHct 41.5 %, AutoMCV 90.2 fL, MCH 32.1 pg, MCHC 35.4 g/dL, RDWv 44.0 fL, PlateletCount 424.0 10*3/uL, PDW 354.3 fL, MPV 11.1 fL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Not in workforce",,"Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1536,1536,"At 28, patient underwent IUD removal procedure successfully without complications.",1990-11-22,Anh979,2019-08-29,2019-08-29,30,outpatient,308335008,Patient encounter procedure (procedure),142.58,573.98,0.0,389095005.0,Contraception care (regime/therapy),28,,,,IUD removal
1537,1537,"Comprehensive prenatal initial visit at 28 years including multiple labs, imaging, and screenings confirming a normal pregnancy.",1990-11-22,Anh979,2019-10-17,2019-10-17,30,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,36089.71,18938.49,72892002.0,Normal pregnancy (finding),28,,Normal preg,,"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"
1538,1538,Follow-up prenatal visit with fetal monitoring and amniocentesis for genetic screening at age 28.,1990-11-22,Anh979,2019-11-14,2019-11-14,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,15775.13,15775.13,72892002.0,Normal pregnancy (finding),28,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
1539,1539,Detailed fetal anatomy and AFP screening performed at 29 weeks gestational age with normal findings.,1990-11-22,Anh979,2019-12-12,2019-12-12,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,14448.37,14298.37,72892002.0,Normal pregnancy (finding),29,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
1540,1540,Routine prenatal visit with fundal height evaluation and fetal heart auscultation at 29 years.,1990-11-22,Anh979,2020-01-09,2020-01-09,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,14553.91,14503.91,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
1541,1541,Continued prenatal monitoring with fundal height and fetal heart assessments at 29.,1990-11-22,Anh979,2020-02-06,2020-02-06,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6558.54,6508.54,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
1542,1542,"Prenatal visit included complete blood count, DTaP vaccination administration, urine glucose test, and fetal monitoring at 29.",1990-11-22,Anh979,2020-03-05,2020-03-05,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,16640.32,16590.32,72892002.0,Normal pregnancy (finding),29,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
1543,1543,Patient presented with strep throat confirmed by throat culture and was treated with Penicillin VK 500mg tablets at age 29.,1990-11-22,Anh979,2020-03-23,2020-03-23,30,ambulatory,185345009,Encounter for symptom (procedure),85.55,980.43,930.43,43878008.0,Streptococcal sore throat (disorder),29,BodyTemp 38.1 Cel,Strep throat,PCN VK 500mg tab,Throat culture
1544,1544,Ongoing prenatal check-up with fundal height and fetal heart rate monitoring.,1990-11-22,Anh979,2020-04-02,2020-04-02,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8806.84,8756.84,72892002.0,Normal pregnancy (finding),29,,,,"Fundal height eval, Fetal heart auscult"
1545,1545,Group B Streptococcus antigen screening performed with routine fetal monitoring at 29.,1990-11-22,Anh979,2020-04-30,2020-04-30,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,5528.76,5478.76,72892002.0,Normal pregnancy (finding),29,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
1546,1546,Emergency hospital admission at 29 for labor induction and delivery; mother and infant status not specified.,1990-11-22,Anh979,2020-05-14,2020-05-14,30,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,3637.14,3587.14,72892002.0,Normal pregnancy (finding),29,,,,"Med induction, Delivery"
1547,1547,"At 29, patient was treated for acute bronchitis with pulmonary function testing and prescribed APAP 325mg tablets.",1990-11-22,Anh979,2020-05-25,2020-05-25,30,ambulatory,185345009,Encounter for symptom (procedure),85.55,324.87,274.87,10509002.0,Acute bronchitis (disorder),29,,Acute bronchitis,APAP 325mg tab,PFT
1548,1548,General check-up with social needs assessment; patient employed full-time and due for medication review.,1990-11-22,Anh979,2020-06-04,2020-06-04,30,outpatient,185349003,Encounter for check up (procedure),85.55,652.95,602.95,,,29,"Height 174.6 cm, PainScore 2.0 {score}, Weight 75.6 kg, BMI 24.8 kg/m2, DBP 83.0 mm[Hg], SBP 100.0 mm[Hg], HR 82.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed",,Health/social needs assess
1549,1549,Postnatal visit included physical examination and depression screening.,1990-11-22,Anh979,2020-06-25,2020-06-25,30,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,955.38,,,29,,,,"PE, Depression screen"
1550,1550,Contraceptive consultation with renewal of Natazia 28-day pack at age 29.,1990-11-22,Anh979,2020-07-22,2020-07-22,30,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,92.58,389095005.0,Contraception care (regime/therapy),29,,,Natazia 28d pack,
1551,1551,Vaccination administered at 30 years; specifics not detailed.,1990-11-22,Anh979,2021-03-11,2021-03-11,30,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,30,,,,
1552,1552,Second vaccination administered at 30 years; no adverse effects reported.,1990-11-22,Anh979,2021-04-01,2021-04-01,30,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,30,,,,
1553,1553,"Comprehensive exam at 31 including social/health assessments, repeated depression screenings, substance use assessment, AUDIT-C, and dental referral due to gingivitis. Patient working part-time.",1990-11-22,Anh979,2022-02-03,2022-02-03,30,wellness,162673000,General examination of patient (procedure),136.8,914.78,0.0,,,31,"Height 174.6 cm, PainScore 2.0 {score}, Weight 78.5 kg, BMI 25.8 kg/m2, DBP 79.0 mm[Hg], SBP 98.0 mm[Hg], HR 87.0 /min, RR 14.0 /min, TotalCholesterol 184.7 mg/dL, HDL 51.2 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Gingivitis",,"Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1554,1554,"Dental evaluation and treatment for caries at 31 included scaling, bitewing x-rays, composite filling, fluoride application, and oral health education with topical NaF gel.",1990-11-22,Anh979,2022-02-17,2022-02-17,30,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,0.0,66383009.0,Gingivitis (disorder),31,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
1555,1555,Prenatal initial visit at 31 years with positive pregnancy test and fetal viability ultrasound; history noted of first-trimester miscarriage and complete miscarriage.,1990-11-22,Anh979,2022-09-15,2022-09-15,30,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,11635.57,0.0,72892002.0,Normal pregnancy (finding),31,,"Normal preg, 1st tri miscarriage, Complete miscarriage",,"Preg test, Fetal viability US"
1556,1556,Follow-up prenatal visit with physical and depression screening; patient has a history of miscarriage.,1990-11-22,Anh979,2022-09-27,2022-09-27,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,1005.38,0.0,156073000.0,Complete miscarriage (disorder),31,,H/o miscarriage,,"PE, Depression screen"
1557,1557,Comprehensive prenatal workup at age 32 confirming a normal pregnancy including extensive lab work and fetal monitoring.,1990-11-22,Anh979,2023-01-05,2023-01-05,30,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,53877.48,53727.48,72892002.0,Normal pregnancy (finding),32,,Normal preg,,"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"
1558,1558,Prenatal visit with fetal monitoring and advanced genetic screening via amniocentesis at 32.,1990-11-22,Anh979,2023-02-02,2023-02-02,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,19098.88,19048.88,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
1559,1559,Fetal anatomy and AFP testing performed at 32 with normal findings.,1990-11-22,Anh979,2023-03-02,2023-03-02,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,14462.66,14412.66,72892002.0,Normal pregnancy (finding),32,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
1560,1560,Routine prenatal assessments continued at 32 years.,1990-11-22,Anh979,2023-03-30,2023-03-30,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4665.96,4615.96,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult"
1561,1561,Ongoing prenatal care with fundal height and fetal heart assessments.,1990-11-22,Anh979,2023-04-27,2023-04-27,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,11451.02,11401.02,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult"
1562,1562,"Prenatal visit included blood work, DTaP vaccination, urine glucose testing, and fetal monitoring.",1990-11-22,Anh979,2023-05-25,2023-05-25,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,13704.95,13654.95,72892002.0,Normal pregnancy (finding),32,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
1563,1563,Standard prenatal fetal checks performed.,1990-11-22,Anh979,2023-06-22,2023-06-22,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6655.56,6605.56,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult"
1564,1564,Group B Streptococcus screening and routine fetal assessments at 32.,1990-11-22,Anh979,2023-07-20,2023-07-20,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,12571.64,12521.64,72892002.0,Normal pregnancy (finding),32,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
1565,1565,Routine prenatal evaluations continued.,1990-11-22,Anh979,2023-08-03,2023-08-03,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,6837.3,6787.3,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult"
1566,1566,Regular prenatal fetal monitoring completed.,1990-11-22,Anh979,2023-08-10,2023-08-10,30,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9281.5,9231.5,72892002.0,Normal pregnancy (finding),32,,,,"Fundal height eval, Fetal heart auscult"
1567,1567,Emergency hospital admission at 32 resulted in delivery; no complications noted.,1990-11-22,Anh979,2023-08-17,2023-08-17,30,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,577.58,527.58,72892002.0,Normal pregnancy (finding),32,,,,Delivery
1568,1568,Postnatal physical examination and depression screening conducted at 32.,1990-11-22,Anh979,2023-09-28,2023-09-28,30,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,955.38,,,32,,,,"PE, Depression screen"
1569,1569,Contraceptive consultation and prescription for Natazia 28-day pack.,1990-11-22,Anh979,2023-10-05,2023-10-05,30,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,92.58,389095005.0,Contraception care (regime/therapy),32,,,Natazia 28d pack,
1570,1570,"General check-up at 33 including social needs, anxiety, and depression assessments; patient noted as full-time employed.",1990-11-22,Anh979,2024-05-30,2024-05-30,30,outpatient,185349003,Encounter for check up (procedure),85.55,727.53,0.0,,,33,"Height 174.6 cm, PainScore 2.0 {score}, Weight 81.0 kg, BMI 26.6 kg/m2, DBP 83.0 mm[Hg], SBP 78.0 mm[Hg], HR 70.0 /min, RR 16.0 /min, AutoWBCCount 7.4 10*3/uL, AutoRBCCount 4.5 10*6/uL, BloodHgb 12.2 g/dL, AutoHct 43.7 %, AutoMCV 91.9 fL, MCH 27.3 pg, MCHC 35.7 g/dL, RDWv 41.3 fL, PlateletCount 325.3 10*3/uL, PDW 506.7 fL, MPV 9.7 fL, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,,"Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
1571,1571,"Symptom visit for viral sinusitis at 33, no interventions recorded.",1990-11-22,Anh979,2024-06-06,2024-06-06,30,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),33,,Viral sinusitis,,
1572,1572,"General exam at 34 with social and substance use assessments, drug abuse screening, and dental referral due to gingivitis. Patient experiencing stress and working part-time.",1990-11-22,Anh979,2025-02-06,2025-02-06,30,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,34,"Height 174.6 cm, PainScore 1.0 {score}, Weight 82.7 kg, BMI 27.1 kg/m2, DBP 84.0 mm[Hg], SBP 96.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, TotalCholesterol 163.2 mg/dL, HDL 56.7 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress, Gingivitis",,"Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral"
1573,1573,"Dental check-up at 34 included consult, scaling, gingival exam, fluoride treatment, and oral health education utilizing topical sodium fluoride gel.",1990-11-22,Anh979,2025-02-20,2025-02-20,30,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),34,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1574,1574,"At age 17, patient presented for well child visit with noted risk behaviors. No medications or procedures performed.",1967-09-12,Dean966,1984-10-30,1984-10-30,31,wellness,410620009,Well child visit (procedure),136.8,704.2,0.0,,,17,,Risk behaviors,,
1575,1575,"At 18 years, general examination noted patient involved in higher education. No significant procedures or medications.",1967-09-12,Dean966,1985-11-05,1985-11-05,31,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,Higher ed,,
1576,1576,"At 22 years, general examination identified obesity with BMI >30. No medications or procedures noted.",1967-09-12,Dean966,1989-11-14,1989-11-14,31,wellness,162673000,General examination of patient (procedure),136.8,914.78,0.0,,,22,,Obesity BMI>30,,
1577,1577,"At age 35, patient presented for routine checkup with diagnosis of hypertension (HTN). No procedures or medications documented.",1967-09-12,Dean966,2003-05-13,2003-05-13,31,outpatient,185349003,Encounter for check up (procedure),85.55,929.37,0.0,,,35,,HTN,,
1578,1578,General examination at 39 years noted patient is full-time employed. No medications or procedures.,1967-09-12,Dean966,2007-06-12,2007-06-12,31,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,39,,Full-time employed,,
1579,1579,"At 44, general examination revealed stress and intimate partner violence (IPV). No medications or procedures.",1967-09-12,Dean966,2012-07-10,2012-07-10,31,wellness,162673000,General examination of patient (procedure),136.8,1045.92,0.0,,,44,,"Stress, IPV",,
1580,1580,"At 46, patient on HCTZ 25mg and Amlodipine 2.5mg for HTN; medication review due.",1967-09-12,Dean966,2014-07-22,2014-07-22,31,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,46,,Med review due,"HCTZ 25mg tab, Amlodipine 2.5mg tab",
1581,1581,Consultation at 47 included prescription of Jolivette 28-day pack for contraception.,1967-09-12,Dean966,2015-02-19,2015-02-19,31,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),47,,,Jolivette 28d pack,
1582,1582,"At 47, patient underwent IUD replacement procedure.",1967-09-12,Dean966,2015-04-21,2015-04-21,31,outpatient,308335008,Patient encounter procedure (procedure),142.58,4185.44,0.0,389095005.0,Contraception care (regime/therapy),47,,,,IUD replacement
1583,1583,"Comprehensive assessment at 47 included health/social, anxiety, depression, and substance use screening. Patient on HTN meds; employed part-time with severe anxiety diagnosis.",1967-09-12,Dean966,2015-07-28,2015-07-28,31,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,47,"Height 179.9 cm, PainScore 1.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 67.0 mm[Hg], SBP 118.0 mm[Hg], HR 93.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Part-time employed, Severe anxiety","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1584,1584,"At 48, consultation involved Camila 28-day contraceptive pack prescription.",1967-09-12,Dean966,2016-02-14,2016-02-14,31,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),48,,,Camila 28d pack,
1585,1585,"General exam with social, depression screening and dental referral at 48. Patient continued HTN meds; full-time employed.",1967-09-12,Dean966,2016-08-02,2016-08-02,31,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,48,"Height 179.9 cm, PainScore 3.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 67.0 mm[Hg], SBP 116.0 mm[Hg], HR 67.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan",Full-time employed,"HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
1586,1586,"Extensive dental care provided at 48 years including consult, cleaning, gingival exam, and oral health education.",1967-09-12,Dean966,2016-08-16,2016-08-16,31,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,0.0,103697008.0,Patient referral for dental care (procedure),48,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1587,1587,Consultation at 49 included continuation of Camila 28-day contraceptive pack.,1967-09-12,Dean966,2017-02-08,2017-02-08,31,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,0.0,389095005.0,Contraception care (regime/therapy),49,,,Camila 28d pack,
1588,1588,"At 49, medication reconciliation and multiple screenings conducted. Patient on HTN meds, part-time employed, reports limited social contact and stress.",1967-09-12,Dean966,2017-08-08,2017-08-08,31,wellness,162673000,General examination of patient (procedure),136.8,1069.06,0.0,,,49,"Height 179.9 cm, PainScore 0.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 67.0 mm[Hg], SBP 116.0 mm[Hg], HR 71.0 /min, RR 12.0 /min, TotalCholesterol 111.3 mg/dL, HDL 49.6 mg/dL, AutoWBCCount 7.2 10*3/uL, AutoRBCCount 4.7 10*6/uL, BloodHgb 13.4 g/dL, AutoHct 42.3 %, AutoMCV 85.0 fL, MCH 32.3 pg, MCHC 33.2 g/dL, RDWv 39.1 fL, PlateletCount 384.5 10*3/uL, PDW 328.7 fL, MPV 11.4 fL, SmokingStatus Ex-smoker (finding) nan","Part-time employed, Limited social contact, Stress","HCTZ 25mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1589,1589,Colonoscopy completed at age 50 during routine checkup.,1967-09-12,Dean966,2017-09-12,2017-09-12,31,ambulatory,185349003,Encounter for check up (procedure),85.55,20297.15,8521.89,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
1590,1590,IUD removal procedure performed at 50 years.,1967-09-12,Dean966,2018-02-13,2018-02-13,31,outpatient,308335008,Patient encounter procedure (procedure),142.58,573.98,573.98,389095005.0,Contraception care (regime/therapy),50,,,,IUD removal
1591,1591,"At 50, patient received comprehensive psychosocial and dental screening; HTN meds ongoing; gingivitis diagnosed; medication review pending; full-time employed.",1967-09-12,Dean966,2018-08-14,2018-08-14,31,wellness,162673000,General examination of patient (procedure),136.8,840.2,840.2,,,50,"Height 179.9 cm, PainScore 3.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 67.0 mm[Hg], SBP 109.0 mm[Hg], HR 99.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed, Gingivitis","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
1592,1592,"Detailed dental care including consult, cleanings, bitewing x-rays, fluoride application, and education provided.",1967-09-12,Dean966,2018-08-28,2018-08-28,31,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,3536.75,66383009.0,Gingivitis (disorder),50,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1593,1593,"At 51, clinical exam with medication review, psychosocial and dental screenings; patient experiences stress and gingivitis; continues HTN meds.",1967-09-12,Dean966,2019-08-20,2019-08-20,31,wellness,162673000,General examination of patient (procedure),136.8,1191.9,0.0,,,51,"Height 179.9 cm, PainScore 2.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 65.0 mm[Hg], SBP 111.0 mm[Hg], HR 92.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Stress, Gingivitis","HCTZ 25mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Dental referral"
1594,1594,"Dental care including consult, cleaning, x-rays, and education continued at 51.",1967-09-12,Dean966,2019-09-03,2019-09-03,31,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),51,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1595,1595,Presented at 52 with viral sinusitis treated with Amoxicillin/Clavulanate 250/125mg.,1967-09-12,Dean966,2020-07-24,2020-07-24,31,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),52,,Viral sinusitis,Amox/Clav 250/125mg tab,
1596,1596,"Comprehensive mental health and dental assessments at 52, medication review pending, HTN meds continued; gingivitis diagnosed.",1967-09-12,Dean966,2020-08-25,2020-08-25,31,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,52,"Height 179.9 cm, PainScore 4.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 68.0 mm[Hg], SBP 107.0 mm[Hg], HR 62.0 /min, RR 12.0 /min, TotalCholesterol 147.0 mg/dL, HDL 56.6 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Gingivitis","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, PHQ-9 screen, Dental referral"
1597,1597,"At 52, extensive dental treatments performed including surgery and postop care for gum disease.",1967-09-12,Dean966,2020-09-08,2020-09-08,31,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,5.89,66383009.0,Gingivitis (disorder),52,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
1598,1598,"At 53, vaccination administered to induce active immunity.",1967-09-12,Dean966,2021-02-16,2021-02-16,31,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,53,,,,
1599,1599,Repeat vaccination administered at 53 years.,1967-09-12,Dean966,2021-03-09,2021-03-09,31,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,0.0,,,53,,,,
1600,1600,Comprehensive psychosocial and dental assessments at 53; not in workforce; continues HTN meds; gingivitis present.,1967-09-12,Dean966,2021-08-31,2021-08-31,31,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,53,"Height 179.9 cm, PainScore 4.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 64.0 mm[Hg], SBP 116.0 mm[Hg], HR 93.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan","Not in workforce, Gingivitis","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Substance use assess, AUDIT-C assess, Dental referral"
1601,1601,"At 54, extensive dental interventions including surgery and restorative work for gum disease and loose filling performed.",1967-09-12,Dean966,2021-09-14,2021-09-14,31,ambulatory,185349003,Encounter for check up (procedure),85.55,5262.35,0.0,66383009.0,Gingivitis (disorder),54,,"Gum disease, Loose filling",,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Full cusp coverage, Oral health ed"
1602,1602,"At 54, patient actively employed, experiencing stress; comprehensive assessments performed; HTN meds ongoing.",1967-09-12,Dean966,2022-09-06,2022-09-06,31,wellness,162673000,General examination of patient (procedure),136.8,1190.11,216.17,,,54,"Height 179.9 cm, PainScore 3.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 69.0 mm[Hg], SBP 111.0 mm[Hg], HR 73.0 /min, RR 15.0 /min, AutoWBCCount 9.5 10*3/uL, AutoRBCCount 4.2 10*6/uL, BloodHgb 12.2 g/dL, AutoHct 37.6 %, AutoMCV 94.3 fL, MCH 30.2 pg, MCHC 34.2 g/dL, RDWv 40.1 fL, PlateletCount 402.7 10*3/uL, PDW 284.3 fL, MPV 9.8 fL, SmokingStatus Ex-smoker (finding) nan","Full-time employed, Stress","HCTZ 25mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, Drug abuse screen, Dental referral"
1603,1603,Colonoscopy performed at 55 years during routine checkup.,1967-09-12,Dean966,2022-09-12,2022-09-12,31,ambulatory,185349003,Encounter for check up (procedure),85.55,5138.45,3083.07,275978004.0,Screening for malignant neoplasm of colon (procedure),55,,,,Colonoscopy
1604,1604,"Routine dental care including consult, cleanings, and x-rays continued at 55.",1967-09-12,Dean966,2022-09-20,2022-09-20,31,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,103697008.0,Patient referral for dental care (procedure),55,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1605,1605,"At 55, patient presented with viral sinusitis and reported homelessness.",1967-09-12,Dean966,2023-01-07,2023-01-07,31,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,444814009.0,Viral sinusitis (disorder),55,,"Viral sinusitis, Homeless",,
1606,1606,"At 56, evaluation included psychosocial and dental screening; medication review pending; patient not in workforce, gingivitis noted.",1967-09-12,Dean966,2023-09-12,2023-09-12,31,wellness,162673000,General examination of patient (procedure),136.8,778.78,0.0,,,56,"Height 179.9 cm, PainScore 1.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 65.0 mm[Hg], SBP 117.0 mm[Hg], HR 71.0 /min, RR 15.0 /min, TotalCholesterol 177.3 mg/dL, HDL 50.2 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Not in workforce, Gingivitis","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1607,1607,"Dental care at 56 included consult, cleaning, fluoride treatment, and oral health education.",1967-09-12,Dean966,2023-09-26,2023-09-26,31,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,0.0,66383009.0,Gingivitis (disorder),56,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1608,1608,"At 57, patient status includes full-time employment with limited social contact and stress related to IPV; continued HTN therapy; mental health screenings performed.",1967-09-12,Dean966,2024-09-17,2024-09-17,31,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,57,"Height 179.9 cm, PainScore 3.0 {score}, Weight 108.1 kg, BMI 33.4 kg/m2, DBP 66.0 mm[Hg], SBP 110.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Full-time employed, Limited social contact, Stress, IPV","HCTZ 25mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen"
1609,1609,"General examination performed on 18-year-old patient with primary education only. No significant procedures, medications, or conditions noted at this visit.",1992-06-09,Lourdes258,2010-08-03,2010-08-03,32,wellness,162673000,General examination of patient (procedure),136.8,919.9,0.0,,,18,,Primary ed only,,
1610,1610,"At age 19, patient assessed for general health with a diagnosis of hypertension noted. No medications or procedures recorded at this encounter.",1992-06-09,Lourdes258,2011-08-09,2011-08-09,32,wellness,162673000,General examination of patient (procedure),136.8,1141.97,0.0,,,19,,HTN,,
1611,1611,"Patient presented at age 21 for ongoing issues related to chronic pain, chronic lower back pain (LBP), and fibromyalgia. No procedures or medications documented.",1992-06-09,Lourdes258,2014-02-06,2014-02-06,32,outpatient,185347001,Encounter for problem (procedure),85.55,85.55,0.0,82423001.0,Chronic pain (finding),21,,"Chronic pain, Chronic LBP, Fibromyalgia",,
1612,1612,"At 21, patient started contraceptive therapy with Levora 0.15/30 (28 day pack). Consultation focused on treatment initiation.",1992-06-09,Lourdes258,2014-05-09,2014-05-09,32,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,85.55,389095005.0,Contraception care (regime/therapy),21,,,Levora 0.15/30 28d pack,
1613,1613,Routine check-up revealed early-stage chronic kidney disease (CKD stage 1) and diabetic nephropathy. No new medications or procedures recorded.,1992-06-09,Lourdes258,2014-06-24,2014-06-24,32,outpatient,185349003,Encounter for check up (procedure),85.55,1400.74,962.23,,,22,,"CKD stage 1, Diabetic nephropathy",,
1614,1614,General exam highlighted stress as a concern at age 22.,1992-06-09,Lourdes258,2014-08-26,2014-08-26,32,wellness,162673000,General examination of patient (procedure),136.8,717.36,573.88,,,22,,Stress,,
1615,1615,"Patient seen in urgent care at 22, noted to have limited social contact, reflecting possible psychosocial concerns.",1992-06-09,Lourdes258,2014-11-11,2014-11-11,32,urgentcare,702927004,Urgent care clinic (environment),142.58,1231.05,984.83,,,22,,Limited social contact,,
1616,1616,Continued social isolation assessed in urgent care setting at 22.,1992-06-09,Lourdes258,2014-11-25,2014-11-25,32,urgentcare,702927004,Urgent care clinic (environment),142.58,723.14,578.5,,,22,,Social isolation,,
1617,1617,"Check-up at 22 with medication regimen including Lisinopril, Amlodipine, and APAP/Hydrocodone. Patient is part-time employed.",1992-06-09,Lourdes258,2014-12-23,2014-12-23,32,outpatient,185349003,Encounter for check up (procedure),85.55,1017.81,814.24,,,22,,Part-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",
1618,1618,Follow-up consultation for contraceptive treatment with Levora continued at 22.,1992-06-09,Lourdes258,2015-05-04,2015-05-04,32,outpatient,698314001,Consultation for treatment (procedure),142.58,142.58,114.06,389095005.0,Contraception care (regime/therapy),22,,,Levora 0.15/30 28d pack,
1619,1619,"Comprehensive assessment at 23 including social, anxiety, and depression screening, with dental referral. Medications continued; patient now full-time employed.",1992-06-09,Lourdes258,2015-09-01,2015-09-01,32,wellness,162673000,General examination of patient (procedure),136.8,717.36,433.97,,,23,"SerumGlucose 87.9 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 136.7 mmol/L, SerumK 4.7 mmol/L, SerumChloride 106.4 mmol/L, TotalCO2Serum 28.7 mmol/L, MDRDGFR 114.2 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.8 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 7.0 pH, UrineProteinMass 141.4 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 54.4 kg, BMI 22.0 kg/m2, DBP 74.0 mm[Hg], SBP 101.0 mm[Hg], HR 92.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Full-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1620,1620,Dental evaluation and treatment including scaling and full cusp coverage performed. Dental caries identified.,1992-06-09,Lourdes258,2015-09-15,2015-09-16,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),23,,Dental caries,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Full cusp coverage, Oral health ed"
1621,1621,Patient presented with acute viral pharyngitis symptoms at 23; no procedures or medications recorded.,1992-06-09,Lourdes258,2016-03-07,2016-03-07,32,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,195662009.0,Acute viral pharyngitis (disorder),23,BodyTemp 37.6 Cel,Acute viral pharyngitis,,
1622,1622,Urgent care visit included medication reconciliation and psychosocial assessments. Patient identified as a refugee with gingivitis.,1992-06-09,Lourdes258,2016-03-15,2016-03-15,32,urgentcare,702927004,Urgent care clinic (environment),142.58,1352.49,1081.98,,,23,"SerumGlucose 67.0 mg/dL, SerumBUN 10.4 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.3 mmol/L, SerumChloride 102.4 mmol/L, TotalCO2Serum 28.5 mmol/L, MDRDGFR 110.9 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.3 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 108.7 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}, Height 157.1 cm, PainScore 3.0 {score}, Weight 54.4 kg, BMI 22.0 kg/m2, DBP 74.0 mm[Hg], SBP 98.0 mm[Hg], HR 78.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Refugee, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1623,1623,Routine dental care and education provided at 23.,1992-06-09,Lourdes258,2016-03-29,2016-03-30,32,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),23,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1624,1624,Multifaceted assessment including mental health and substance use screening. Patient displayed stress and gingivitis; medications continued.,1992-06-09,Lourdes258,2016-04-12,2016-04-12,32,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,23,"SerumGlucose 82.4 mg/dL, SerumBUN 18.6 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 140.1 mmol/L, SerumK 4.7 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 23.3 mmol/L, MDRDGFR 118.4 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 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.5 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 62.2 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}, Height 157.1 cm, PainScore 0.0 {score}, Weight 54.4 kg, BMI 22.0 kg/m2, DBP 74.0 mm[Hg], SBP 104.0 mm[Hg], HR 91.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1625,1625,Dental treatments including fluoride application with NaF gel provided; routine oral health education continued.,1992-06-09,Lourdes258,2016-04-26,2016-04-27,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),23,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1626,1626,Comprehensive prenatal initial evaluation at age 24 confirming normal pregnancy; multiple screenings and assessments performed.,1992-06-09,Lourdes258,2016-08-23,2016-08-23,32,ambulatory,424441002,Prenatal initial visit (regime/therapy),142.58,38027.06,30235.25,72892002.0,Normal pregnancy (finding),24,,Normal preg,,"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"
1627,1627,General exam with psychosocial assessment. Patient is part-time employed and continues antihypertensive and analgesic medications.,1992-06-09,Lourdes258,2016-09-06,2016-09-06,32,wellness,162673000,General examination of patient (procedure),136.8,717.36,573.88,,,24,"SerumGlucose 94.7 mg/dL, SerumBUN 14.0 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 140.4 mmol/L, SerumK 4.1 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 21.5 mmol/L, MDRDGFR 145.0 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.9 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 123.0 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 55.6 kg, BMI 22.5 kg/m2, DBP 75.0 mm[Hg], SBP 90.0 mm[Hg], HR 64.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Part-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess"
1628,1628,Prenatal visit with fetal monitoring and amniocentesis for chromosomal assessment.,1992-06-09,Lourdes258,2016-09-20,2016-09-20,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,5812.5,4649.99,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy"
1629,1629,Ultrasound anatomy scan and maternal serum AFP testing performed.,1992-06-09,Lourdes258,2016-10-18,2016-10-18,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,13328.0,10662.4,72892002.0,Normal pregnancy (finding),24,,,,"Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult"
1630,1630,Routine prenatal monitoring continued.,1992-06-09,Lourdes258,2016-11-15,2016-11-15,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,7037.11,5629.68,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult"
1631,1631,Continued prenatal fetal growth and heart rate assessment.,1992-06-09,Lourdes258,2016-12-13,2016-12-13,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,9916.78,7933.42,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult"
1632,1632,"Prenatal visit included hemogram, DTaP vaccination, urine glucose testing, and fetal assessments.",1992-06-09,Lourdes258,2017-01-10,2017-01-10,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,12724.88,10179.89,72892002.0,Normal pregnancy (finding),24,,,,"Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult"
1633,1633,Prenatal fetal monitoring continued.,1992-06-09,Lourdes258,2017-02-07,2017-02-07,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8581.93,6865.54,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult"
1634,1634,Group B streptococcus screen and regular fetal evaluations performed.,1992-06-09,Lourdes258,2017-03-07,2017-03-07,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,8823.16,7058.52,72892002.0,Normal pregnancy (finding),24,,,,"GBS Ag, Fundal height eval, Fetal heart auscult"
1635,1635,Prenatal monitoring maintained.,1992-06-09,Lourdes258,2017-03-21,2017-03-21,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4665.96,3732.76,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult"
1636,1636,Continued prenatal assessment with fetal heart auscultation.,1992-06-09,Lourdes258,2017-03-28,2017-03-28,32,ambulatory,424619006,Prenatal visit (regime/therapy),142.58,4808.16,3846.52,72892002.0,Normal pregnancy (finding),24,,,,"Fundal height eval, Fetal heart auscult"
1637,1637,Emergency obstetric hospital admission resulted in medical induction and delivery at age 24.,1992-06-09,Lourdes258,2017-04-04,2017-04-04,32,emergency,183460006,Obstetric emergency hospital admission (procedure),146.18,6874.57,5499.65,72892002.0,Normal pregnancy (finding),24,,,,"Med induction, Delivery"
1638,1638,Postnatal physical exam and depression screening performed.,1992-06-09,Lourdes258,2017-05-16,2017-05-16,32,ambulatory,169762003,Postnatal visit (regime/therapy),142.58,1005.38,804.3,,,24,,,,"PE, Depression screen"
1639,1639,"At 25, patient seen for general examination with extensive psychosocial assessments indicating stress; medications continued; patient full-time employed.",1992-06-09,Lourdes258,2017-09-12,2017-09-12,32,wellness,162673000,General examination of patient (procedure),136.8,853.36,519.35,,,25,"SerumGlucose 84.1 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 138.7 mmol/L, SerumK 3.7 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 25.9 mmol/L, MDRDGFR 115.0 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 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.8 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 58.2 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 57.2 kg, BMI 23.2 kg/m2, DBP 75.0 mm[Hg], SBP 104.0 mm[Hg], HR 98.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1640,1640,Presenting with symptoms of strep throat at 25; prescribed penicillin VK 500mg tablets.,1992-06-09,Lourdes258,2018-05-08,2018-05-08,32,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,43878008.0,Streptococcal sore throat (disorder),25,BodyTemp 38.2 Cel,Strep throat,PCN VK 500mg tab,
1641,1641,"Urgent care visit with medication review, psychosocial screenings including domestic abuse; patient part-time employed.",1992-06-09,Lourdes258,2018-05-15,2018-05-15,32,urgentcare,702927004,Urgent care clinic (environment),142.58,1074.84,859.86,,,25,"SerumGlucose 67.5 mg/dL, SerumBUN 14.1 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 138.3 mmol/L, SerumK 4.2 mmol/L, SerumChloride 102.9 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 104.0 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 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.6 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 119.5 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}, Height 157.1 cm, PainScore 0.0 {score}, Weight 57.2 kg, BMI 23.2 kg/m2, DBP 74.0 mm[Hg], SBP 95.0 mm[Hg], HR 94.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Part-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Dental referral"
1642,1642,Medication review noted as due; patient on hypertensive and pain medications.,1992-06-09,Lourdes258,2018-05-22,2018-05-22,32,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,25,"SerumGlucose 86.6 mg/dL, SerumBUN 16.8 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 136.2 mmol/L, SerumK 5.0 mmol/L, SerumChloride 105.2 mmol/L, TotalCO2Serum 27.3 mmol/L, MDRDGFR 92.8 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.7 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 63.4 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",
1643,1643,Consultation focused on sterilization education requested at age 25.,1992-06-09,Lourdes258,2018-05-29,2018-05-29,32,outpatient,698314001,Consultation for treatment (procedure),142.58,573.98,459.18,183996000.0,Sterilization requested (situation),25,,Sterilization req,,Steril ed
1644,1644,Comprehensive dental intervention including surgery and postop care for gum disease.,1992-06-09,Lourdes258,2018-06-05,2018-06-06,32,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,103697008.0,Patient referral for dental care (procedure),25,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
1645,1645,Surgical admission for bilateral tubal ligation (BTL) with postoperative care; history of tubal procedure confirmed.,1992-06-09,Lourdes258,2018-06-16,2018-06-17,32,inpatient,305408004,Admission to surgical department (procedure),146.18,13537.81,10643.85,183996000.0,Sterilization requested (situation),26,,H/o tubal,,"BTL, Postop care"
1646,1646,Presented with acute bronchitis; prescribed acetaminophen 325 mg tablets for symptom management.,1992-06-09,Lourdes258,2018-09-03,2018-09-03,32,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,10509002.0,Acute bronchitis (disorder),26,,Acute bronchitis,APAP 325mg tab,
1647,1647,"Emergency visit included medication reconciliation and extensive psychosocial screening including substance use and anxiety; patient full-time employed, exposure to environmental violence noted.",1992-06-09,Lourdes258,2018-09-11,2018-09-11,32,emergency,50849002,Emergency room admission (procedure),146.18,1664.12,1331.28,,,26,"SerumGlucose 94.3 mg/dL, SerumBUN 9.7 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 142.2 mmol/L, SerumK 5.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 108.0 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.9 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 129.2 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 58.4 kg, BMI 23.7 kg/m2, DBP 71.0 mm[Hg], SBP 104.0 mm[Hg], HR 95.0 /min, RR 13.0 /min, AutoWBCCount 4.3 10*3/uL, AutoRBCCount 5.2 10*6/uL, BloodHgb 15.9 g/dL, AutoHct 41.3 %, AutoMCV 92.9 fL, MCH 29.0 pg, MCHC 34.3 g/dL, RDWv 42.8 fL, PlateletCount 262.6 10*3/uL, PDW 502.0 fL, MPV 9.6 fL, SmokingStatus Never smoked tobacco (finding) nan","Full-time employed, Enviro violence","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1648,1648,General examination with medication reconciliation and med review due.,1992-06-09,Lourdes258,2018-09-18,2018-09-18,32,wellness,162673000,General examination of patient (procedure),136.8,807.69,646.14,,,26,"SerumGlucose 95.2 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 1.6 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 136.4 mmol/L, SerumK 3.9 mmol/L, SerumChloride 105.9 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 103.9 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.7 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 71.2 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",Med rec
1649,1649,ER visit included comprehensive psychosocial screening; stress and part-time employment noted. Medication review due.,1992-06-09,Lourdes258,2018-09-25,2018-09-25,32,emergency,50849002,Emergency room admission (procedure),146.18,726.74,581.38,,,26,"SerumGlucose 65.2 mg/dL, SerumBUN 9.0 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 136.9 mmol/L, SerumK 4.6 mmol/L, SerumChloride 104.7 mmol/L, TotalCO2Serum 21.3 mmol/L, MDRDGFR 113.4 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.6 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 149.4 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}, Height 157.1 cm, PainScore 3.0 {score}, Weight 58.4 kg, BMI 23.7 kg/m2, DBP 73.0 mm[Hg], SBP 102.0 mm[Hg], HR 80.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1650,1650,Routine dental care and education maintained.,1992-06-09,Lourdes258,2018-10-02,2018-10-03,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),26,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1651,1651,"Check-up visit included med rec, dental referral; patient full-time employed.",1992-06-09,Lourdes258,2019-04-30,2019-04-30,32,outpatient,185349003,Encounter for check up (procedure),85.55,1017.81,814.24,,,26,"SerumGlucose 97.9 mg/dL, SerumBUN 18.3 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 143.3 mmol/L, SerumK 4.8 mmol/L, SerumChloride 103.7 mmol/L, TotalCO2Serum 22.6 mmol/L, MDRDGFR 114.5 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.4 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 85.5 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 58.4 kg, BMI 23.7 kg/m2, DBP 70.0 mm[Hg], SBP 102.0 mm[Hg], HR 68.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Dental referral"
1652,1652,Dental care including fluoride treatment with NaF gel continued.,1992-06-09,Lourdes258,2019-05-14,2019-05-15,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),26,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1653,1653,Comprehensive general exam at 27 including mental health and substance use screening; stress and med review noted.,1992-06-09,Lourdes258,2019-09-24,2019-09-24,32,wellness,162673000,General examination of patient (procedure),136.8,1088.62,700.46,,,27,"SerumGlucose 99.7 mg/dL, SerumBUN 15.4 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.4 mmol/L, SerumK 4.9 mmol/L, SerumChloride 110.5 mmol/L, TotalCO2Serum 20.2 mmol/L, MDRDGFR 146.9 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 4.7 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 134.4 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 59.8 kg, BMI 24.2 kg/m2, DBP 70.0 mm[Hg], SBP 105.0 mm[Hg], HR 83.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess"
1654,1654,Check-up with multifactorial assessments; unhealthy alcohol use and gingivitis identified; medications reviewed.,1992-06-09,Lourdes258,2019-12-24,2019-12-24,32,outpatient,185349003,Encounter for check up (procedure),85.55,802.11,641.68,,,27,"SerumGlucose 64.7 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 1.4 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 139.0 mmol/L, SerumK 4.9 mmol/L, SerumChloride 105.2 mmol/L, TotalCO2Serum 26.8 mmol/L, MDRDGFR 138.4 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.3 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 121.9 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 59.8 kg, BMI 24.2 kg/m2, DBP 73.0 mm[Hg], SBP 105.0 mm[Hg], HR 94.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Unhealthy alcohol use, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1655,1655,Dental care continued with fluoride application.,1992-06-09,Lourdes258,2020-01-07,2020-01-08,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,66383009.0,Gingivitis (disorder),27,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed"
1656,1656,"At 28, patient received med rec and mental health assessments; medication regimen maintained.",1992-06-09,Lourdes258,2020-09-29,2020-09-29,32,wellness,162673000,General examination of patient (procedure),136.8,1580.16,1110.08,,,28,"SerumGlucose 67.7 mg/dL, SerumBUN 12.2 mg/dL, SerumCreatinine 1.6 mg/dL, SerumCalcium 8.5 mg/dL, SerumNa 140.3 mmol/L, SerumK 4.1 mmol/L, SerumChloride 105.0 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 148.2 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.0 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 65.7 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 60.9 kg, BMI 24.7 kg/m2, DBP 70.0 mm[Hg], SBP 103.0 mm[Hg], HR 97.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1657,1657,Urgent care for wrist sprain treated with Naproxen 220 mg tablets.,1992-06-09,Lourdes258,2021-08-28,2021-08-28,32,emergency,50849002,Emergency room admission (procedure),146.18,146.18,27.15,384709000.0,Sprain (morphologic abnormality),29,,"Sprain, Wrist sprain",Naproxen Na 220mg tab,
1658,1658,Comprehensive general exam with psychosocial screenings; medication review due.,1992-06-09,Lourdes258,2021-10-05,2021-10-05,32,wellness,162673000,General examination of patient (procedure),136.8,1076.48,861.18,,,29,"SerumGlucose 66.4 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 1.4 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 141.8 mmol/L, SerumK 5.2 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 24.0 mmol/L, MDRDGFR 118.0 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 11.6 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 66.5 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 62.1 kg, BMI 25.2 kg/m2, DBP 65.0 mm[Hg], SBP 92.0 mm[Hg], HR 90.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1659,1659,Routine check-up with med rec and mental health assessments; medications reviewed.,1992-06-09,Lourdes258,2021-12-14,2021-12-14,32,outpatient,185349003,Encounter for check up (procedure),85.55,1115.86,892.68,,,29,"SerumGlucose 70.5 mg/dL, SerumBUN 11.2 mg/dL, SerumCreatinine 1.7 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 143.1 mmol/L, SerumK 5.0 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 24.5 mmol/L, MDRDGFR 105.7 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.9 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 60.9 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}, Height 157.1 cm, PainScore 3.0 {score}, Weight 62.1 kg, BMI 25.2 kg/m2, DBP 65.0 mm[Hg], SBP 105.0 mm[Hg], HR 93.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1660,1660,Ongoing dental care maintained.,1992-06-09,Lourdes258,2021-12-28,2021-12-29,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),29,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1661,1661,"At 30, patient evaluated with mental health and substance use screening; stress reported; med review due.",1992-06-09,Lourdes258,2022-10-11,2022-10-11,32,wellness,162673000,General examination of patient (procedure),136.8,1007.64,627.3,,,30,"SerumGlucose 74.5 mg/dL, SerumBUN 18.1 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.3 mmol/L, SerumK 3.8 mmol/L, SerumChloride 108.5 mmol/L, TotalCO2Serum 25.0 mmol/L, MDRDGFR 101.4 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.2 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 79.5 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}, Height 157.1 cm, PainScore 3.0 {score}, Weight 63.8 kg, BMI 25.8 kg/m2, DBP 71.0 mm[Hg], SBP 102.0 mm[Hg], HR 85.0 /min, RR 15.0 /min, TotalCholesterol 275.8 mg/dL, HDL 55.4 mg/dL, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen"
1662,1662,"Check-up highlighted med review due, progression to CKD stage 2, and diabetic microalbuminuria.",1992-06-09,Lourdes258,2023-06-06,2023-06-06,32,outpatient,185349003,Encounter for check up (procedure),85.55,1190.23,952.18,,,30,"SerumGlucose 70.8 mg/dL, SerumBUN 15.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 141.6 mmol/L, SerumK 4.5 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 21.2 mmol/L, MDRDGFR 80.0 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 209.3 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}, Height 157.1 cm, PainScore 4.0 {score}, Weight 63.8 kg, BMI 25.8 kg/m2, DBP 76.0 mm[Hg], SBP 103.0 mm[Hg], HR 80.0 /min, RR 16.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, CKD stage 2, Diabetic microalbumin","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, PHQ-9 screen, Dental referral"
1663,1663,Dental maintenance continued with fluoride application.,1992-06-09,Lourdes258,2023-06-20,2023-06-21,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2746.95,103697008.0,Patient referral for dental care (procedure),31,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1664,1664,Comprehensive psychosocial assessments including domestic abuse screen; stress documented; medications reviewed.,1992-06-09,Lourdes258,2023-08-01,2023-08-01,32,outpatient,185349003,Encounter for check up (procedure),85.55,802.11,641.68,,,31,"SerumGlucose 68.7 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 143.4 mmol/L, SerumK 4.0 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 20.1 mmol/L, MDRDGFR 78.7 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 332.9 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 76.0 mm[Hg], SBP 94.0 mm[Hg], HR 87.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1665,1665,Urgent care visit including medication review; patient part-time employed.,1992-06-09,Lourdes258,2023-09-05,2023-09-05,32,urgentcare,702927004,Urgent care clinic (environment),142.58,938.84,751.06,,,31,"SerumGlucose 94.2 mg/dL, SerumBUN 14.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 141.5 mmol/L, SerumK 4.7 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 72.3 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 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 219.5 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 77.0 mm[Hg], SBP 102.0 mm[Hg], HR 77.0 /min, RR 12.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Part-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1666,1666,Regular check-up with medication ongoing; med review due.,1992-06-09,Lourdes258,2023-09-12,2023-09-12,32,outpatient,185349003,Encounter for check up (procedure),85.55,234.71,187.76,,,31,"SerumGlucose 87.5 mg/dL, SerumBUN 11.5 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.2 mg/dL, SerumNa 141.9 mmol/L, SerumK 5.2 mmol/L, SerumChloride 105.1 mmol/L, TotalCO2Serum 21.6 mmol/L, MDRDGFR 88.6 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 2.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 207.8 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",
1667,1667,Multifaceted check-up including psychosocial and dental referral; medications maintained.,1992-06-09,Lourdes258,2023-09-19,2023-09-19,32,outpatient,185349003,Encounter for check up (procedure),85.55,988.16,790.52,,,31,"SerumGlucose 97.2 mg/dL, SerumBUN 14.4 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.1 mmol/L, SerumChloride 103.2 mmol/L, TotalCO2Serum 26.7 mmol/L, MDRDGFR 66.9 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 1.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.3 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 253.8 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}, Height 157.1 cm, PainScore 4.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 71.0 mm[Hg], SBP 105.0 mm[Hg], HR 95.0 /min, RR 14.0 /min, AutoWBCCount 7.3 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 17.3 g/dL, AutoHct 48.2 %, AutoMCV 81.4 fL, MCH 28.3 pg, MCHC 34.9 g/dL, RDWv 43.1 fL, PlateletCount 319.0 10*3/uL, PDW 485.4 fL, MPV 12.2 fL, SmokingStatus Never smoked tobacco (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1668,1668,Presentation for acute bronchitis symptoms treated with acetaminophen 325mg.,1992-06-09,Lourdes258,2023-09-26,2023-09-26,32,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,10509002.0,Acute bronchitis (disorder),31,,Acute bronchitis,APAP 325mg tab,
1669,1669,"Urgent care including medication review, mental health screening, and dental referral. Patient has stress and gingivitis.",1992-06-09,Lourdes258,2023-10-03,2023-10-03,32,urgentcare,702927004,Urgent care clinic (environment),142.58,1585.94,1268.74,,,31,"SerumGlucose 65.9 mg/dL, SerumBUN 9.2 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 142.5 mmol/L, SerumK 4.2 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 27.6 mmol/L, MDRDGFR 88.4 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.4 pH, UrineProteinMass 176.0 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}, Height 157.1 cm, PainScore 4.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 68.0 mm[Hg], SBP 85.0 mm[Hg], HR 92.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Stress, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Dental referral"
1670,1670,Medication review noted as due in urgent care setting.,1992-06-09,Lourdes258,2023-10-10,2023-10-10,32,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,31,"SerumGlucose 71.4 mg/dL, SerumBUN 7.7 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 139.4 mmol/L, SerumK 4.8 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 27.7 mmol/L, MDRDGFR 71.6 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 189.3 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",
1671,1671,General exam at 31 included psychosocial screening related to substance use and alcohol; patient exposed to environmental violence.,1992-06-09,Lourdes258,2023-10-17,2023-10-17,32,wellness,162673000,General examination of patient (procedure),136.8,717.36,573.88,,,31,"SerumGlucose 87.0 mg/dL, SerumBUN 10.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 136.7 mmol/L, SerumK 3.7 mmol/L, SerumChloride 107.7 mmol/L, TotalCO2Serum 24.1 mmol/L, MDRDGFR 74.7 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 0.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 17.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 266.7 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}, Height 157.1 cm, PainScore 2.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 76.0 mm[Hg], SBP 100.0 mm[Hg], HR 85.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Enviro violence,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Substance use assess, AUDIT-C assess"
1672,1672,Dental check-up with treatment for dental caries and composite post-fracture restorations; fluoride application maintained.,1992-06-09,Lourdes258,2023-10-24,2023-10-25,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),31,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
1673,1673,Psychosocial screening with anxiety and depression assessments; patient full-time employed.,1992-06-09,Lourdes258,2024-04-30,2024-04-30,32,outpatient,185349003,Encounter for check up (procedure),85.55,802.11,641.68,,,31,"SerumGlucose 83.0 mg/dL, SerumBUN 19.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 140.0 mmol/L, SerumK 5.1 mmol/L, SerumChloride 108.2 mmol/L, TotalCO2Serum 26.3 mmol/L, MDRDGFR 71.8 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.0 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 190.7 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}, Height 157.1 cm, PainScore 3.0 {score}, Weight 65.4 kg, BMI 26.5 kg/m2, DBP 77.0 mm[Hg], SBP 98.0 mm[Hg], HR 95.0 /min, RR 15.0 /min, SmokingStatus Never smoked tobacco (finding) nan",Full-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
1674,1674,"At 32, assessment for anxiety, domestic abuse and dental referral conducted; patient part-time employed and stressed.",1992-06-09,Lourdes258,2024-07-02,2024-07-02,32,outpatient,185349003,Encounter for check up (procedure),85.55,881.81,582.81,,,32,"SerumGlucose 93.5 mg/dL, SerumBUN 18.1 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 138.6 mmol/L, SerumK 3.7 mmol/L, SerumChloride 110.0 mmol/L, TotalCO2Serum 26.1 mmol/L, MDRDGFR 62.0 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 348.8 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}, Height 157.1 cm, PainScore 4.0 {score}, Weight 67.4 kg, BMI 27.3 kg/m2, DBP 75.0 mm[Hg], SBP 101.0 mm[Hg], HR 62.0 /min, RR 14.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Part-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Dental referral"
1675,1675,Continued dental care and education were provided.,1992-06-09,Lourdes258,2024-07-16,2024-07-17,32,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),32,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1676,1676,General exam highlighted progression to CKD stage 3 and diabetic proteinuria; full-time employed; med review due.,1992-06-09,Lourdes258,2024-10-22,2024-10-22,32,wellness,162673000,General examination of patient (procedure),136.8,1220.05,976.03,,,32,"SerumGlucose 97.9 mg/dL, SerumBUN 7.8 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.6 mmol/L, SerumK 3.9 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 20.7 mmol/L, MDRDGFR 49.3 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 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.0 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.6 pH, UrineProteinMass 242.6 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}, Height 157.1 cm, PainScore 1.0 {score}, Weight 67.4 kg, BMI 27.3 kg/m2, DBP 61.0 mm[Hg], SBP 89.0 mm[Hg], HR 97.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, CKD stage 3, Diabetic proteinuria, Full-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1677,1677,Medication reconciliation completed; medication review due.,1992-06-09,Lourdes258,2024-10-29,2024-10-29,32,outpatient,185349003,Encounter for check up (procedure),85.55,1097.51,878.0,,,32,"SerumGlucose 79.8 mg/dL, SerumBUN 12.4 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 139.7 mmol/L, SerumK 3.8 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 34.9 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.9 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 257.3 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab",Med rec
1678,1678,Urgent care assessment including anxiety and substance use screening; med review due; patient part-time employed.,1992-06-09,Lourdes258,2025-01-28,2025-01-28,32,urgentcare,702927004,Urgent care clinic (environment),142.58,859.14,687.3,,,32,"SerumGlucose 83.3 mg/dL, SerumBUN 17.1 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 139.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 108.0 mmol/L, TotalCO2Serum 27.2 mmol/L, MDRDGFR 39.9 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 1.2 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.3 mg/dL, UrineKetonesPresence Urine ketone test = ++ (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 350.2 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}, Height 157.1 cm, PainScore 4.0 {score}, Weight 67.4 kg, BMI 27.3 kg/m2, DBP 71.0 mm[Hg], SBP 103.0 mm[Hg], HR 66.0 /min, RR 13.0 /min, SmokingStatus Never smoked tobacco (finding) nan","Med review due, Part-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab, APAP 300mg/Hydrocodone 5mg tab","Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess"
1679,1679,"Encounter at age 3 for an unspecified problem, with no procedures, medications, or conditions documented.",1971-07-14,Sadie426,1972-05-10,1972-05-10,33,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,762952008.0,Peanut (substance),3,,,,
1680,1680,"Repeat encounter at age 3 for an unspecified problem, with no further details provided.",1971-07-14,Sadie426,1972-05-19,1972-05-19,33,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,0.0,419199007.0,Allergy to substance (finding),3,,,,
1681,1681,Well child visit at age 12 noted risk behaviors; no procedures or medications recorded.,1971-07-14,Sadie426,1983-08-04,1983-08-04,33,wellness,410620009,Well child visit (procedure),136.8,939.65,0.0,,,12,,Risk behaviors,,
1682,1682,"At age 18, general examination performed, patient reported involvement with higher education, no procedures, medications, or conditions noted.",1971-07-14,Sadie426,1989-09-07,1989-09-07,33,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,18,,Higher ed,,
1683,1683,"At age 22, general examination revealed hypertension (HTN) as a condition; no procedures or medications documented.",1971-07-14,Sadie426,1993-09-16,1993-09-16,33,wellness,162673000,General examination of patient (procedure),136.8,1050.78,1000.78,,,22,,HTN,,
1684,1684,"At age 35, patient admitted to surgical department with history of tubal procedure; no procedures or medications recorded during this encounter.",1971-07-14,Sadie426,2007-05-23,2007-05-24,33,inpatient,305408004,Admission to surgical department (procedure),146.18,9224.97,9224.97,183996000.0,Sterilization requested (situation),35,,H/o tubal,,
1685,1685,"At age 38, general examination noted a criminal record; no procedures or medications documented.",1971-07-14,Sadie426,2009-12-17,2009-12-17,33,wellness,162673000,General examination of patient (procedure),136.8,919.9,0.0,,,38,,Criminal record,,
1686,1686,"Encounter at age 38 for hand osteoarthritis (OA), treated with Naproxen Sodium 220 mg tablets; no procedures done.",1971-07-14,Sadie426,2010-07-12,2010-07-12,33,ambulatory,185347001,Encounter for problem (procedure),85.55,85.55,68.44,201834006.0,Localized  primary osteoarthritis of the hand (disorder),38,,Hand OA,Naproxen Na 220mg tab,
1687,1687,General exam at age 40 highlighted need for medication review; no procedures or medications recorded.,1971-07-14,Sadie426,2011-12-29,2011-12-29,33,wellness,162673000,General examination of patient (procedure),136.8,840.2,0.0,,,40,,Med review due,,
1688,1688,"At age 43, patient on Lisinopril 10 mg and Amlodipine 2.5 mg, reported full-time employment; no procedures performed.",1971-07-14,Sadie426,2015-01-15,2015-01-15,33,wellness,162673000,General examination of patient (procedure),136.8,704.2,0.0,,,43,,Full-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1689,1689,"At age 44, comprehensive medical review included medication reconciliation, mental health screenings, and dental referral. Diagnosed with CKD stage 1, diabetic nephropathy, and experiences intimate partner violence (IPV). Medications continued.",1971-07-14,Sadie426,2016-01-21,2016-01-21,33,wellness,162673000,General examination of patient (procedure),136.8,1069.06,0.0,,,44,"SerumGlucose 86.7 mg/dL, SerumBUN 13.3 mg/dL, SerumCreatinine 1.5 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 140.7 mmol/L, SerumK 4.2 mmol/L, SerumChloride 107.6 mmol/L, TotalCO2Serum 28.3 mmol/L, MDRDGFR 145.1 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 1.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.1 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 142.2 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}, Height 164.5 cm, PainScore 0.0 {score}, Weight 77.7 kg, BMI 28.7 kg/m2, DBP 95.0 mm[Hg], SBP 124.0 mm[Hg], HR 77.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan","CKD stage 1, Diabetic nephropathy, IPV","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1690,1690,"At 44, patient received detailed dental care including consults, scaling, bitewing x-rays, gingival exams, and oral health education.",1971-07-14,Sadie426,2016-02-04,2016-02-04,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2174.7,103697008.0,Patient referral for dental care (procedure),44,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1691,1691,"At age 45, psychosocial assessments conducted alongside dental referral; patient has gingivitis and medication review pending.",1971-07-14,Sadie426,2017-01-26,2017-01-26,33,wellness,162673000,General examination of patient (procedure),136.8,927.94,0.0,,,45,"SerumGlucose 98.6 mg/dL, SerumBUN 14.7 mg/dL, SerumCreatinine 1.6 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 139.7 mmol/L, SerumK 4.6 mmol/L, SerumChloride 110.8 mmol/L, TotalCO2Serum 21.8 mmol/L, MDRDGFR 102.9 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 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.5 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 59.7 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 79.2 kg, BMI 29.3 kg/m2, DBP 96.0 mm[Hg], SBP 113.0 mm[Hg], HR 97.0 /min, RR 15.0 /min, TotalCholesterol 155.8 mg/dL, HDL 57.7 mg/dL, SmokingStatus Ex-smoker (finding) nan","Med review due, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1692,1692,Dental check-up with comprehensive care and education at age 45.,1971-07-14,Sadie426,2017-02-09,2017-02-09,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2061.69,66383009.0,Gingivitis (disorder),45,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1693,1693,Exam at 46 included medication reconciliation and mental health assessments; patient reports stress.,1971-07-14,Sadie426,2018-02-01,2018-02-01,33,wellness,162673000,General examination of patient (procedure),136.8,1443.85,0.0,,,46,"SerumGlucose 67.8 mg/dL, SerumBUN 14.1 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 141.1 mmol/L, SerumK 4.8 mmol/L, SerumChloride 107.8 mmol/L, TotalCO2Serum 27.4 mmol/L, MDRDGFR 120.7 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.5 mg/dL, UrineKetonesPresence Urine ketone test = trace (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 122.3 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 80.7 kg, BMI 29.8 kg/m2, DBP 96.0 mm[Hg], SBP 113.0 mm[Hg], HR 70.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan",Stress,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess"
1694,1694,"At age 47, presenting with acute bronchitis, treated with acetaminophen 325 mg; pulmonary function test (PFT) performed.",1971-07-14,Sadie426,2018-11-08,2018-11-08,33,ambulatory,185345009,Encounter for symptom (procedure),85.55,214.62,0.0,10509002.0,Acute bronchitis (disorder),47,,Acute bronchitis,APAP 325mg tab,PFT
1695,1695,"ER admission at 47 with worsening CKD (stage 2) and diabetic microalbuminuria; comprehensive mental health and substance use assessments done, medication review due.",1971-07-14,Sadie426,2018-11-22,2018-11-22,33,emergency,50849002,Emergency room admission (procedure),146.18,726.74,0.0,,,47,"SerumGlucose 86.9 mg/dL, SerumBUN 8.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.9 mg/dL, SerumNa 138.8 mmol/L, SerumK 5.0 mmol/L, SerumChloride 101.6 mmol/L, TotalCO2Serum 21.6 mmol/L, MDRDGFR 63.2 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 0.9 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.9 pH, UrineProteinMass 335.2 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 79.6 kg, BMI 29.4 kg/m2, DBP 92.0 mm[Hg], SBP 112.0 mm[Hg], HR 91.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, CKD stage 2, Diabetic microalbumin, Part-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, PHQ-9 screen, Substance use assess, AUDIT-C assess"
1696,1696,Urgent care visit at 47 continuing antihypertensive medications; no procedures or conditions documented.,1971-07-14,Sadie426,2018-11-29,2018-11-29,33,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,0.0,,,47,"SerumGlucose 93.0 mg/dL, SerumBUN 11.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 143.6 mmol/L, SerumK 4.1 mmol/L, SerumChloride 104.3 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 88.9 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 325.8 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1697,1697,"At 47, patient underwent comprehensive psychosocial and dental assessments; managing IPV and gingivitis.",1971-07-14,Sadie426,2019-02-07,2019-02-07,33,wellness,162673000,General examination of patient (procedure),136.8,927.94,714.11,,,47,"SerumGlucose 68.6 mg/dL, SerumBUN 11.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 139.6 mmol/L, SerumK 4.7 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 82.6 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.5 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 6.2 pH, UrineProteinMass 281.6 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 78.2 kg, BMI 28.9 kg/m2, DBP 92.0 mm[Hg], SBP 112.0 mm[Hg], HR 96.0 /min, RR 15.0 /min, AutoWBCCount 5.2 10*3/uL, AutoRBCCount 4.6 10*6/uL, BloodHgb 14.1 g/dL, AutoHct 36.4 %, AutoMCV 85.3 fL, MCH 29.0 pg, MCHC 34.4 g/dL, RDWv 41.2 fL, PlateletCount 186.6 10*3/uL, PDW 272.1 fL, MPV 9.7 fL, SmokingStatus Ex-smoker (finding) nan","IPV, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1698,1698,Age 47 dental follow-up included extensive dental procedures for gum disease; prescribed NaF 2.72% oral gel.,1971-07-14,Sadie426,2019-02-21,2019-02-21,33,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),47,,Gum disease,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed"
1699,1699,"At 48, patient underwent mental health and substance use screening while maintaining employment and anticoagulation medications.",1971-07-14,Sadie426,2019-07-25,2019-07-25,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,0.0,,,48,"SerumGlucose 87.8 mg/dL, SerumBUN 11.5 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 136.4 mmol/L, SerumK 5.0 mmol/L, SerumChloride 105.3 mmol/L, TotalCO2Serum 28.1 mmol/L, MDRDGFR 62.7 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 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.0 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 214.6 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}, Height 164.5 cm, PainScore 2.0 {score}, Weight 75.1 kg, BMI 27.8 kg/m2, DBP 96.0 mm[Hg], SBP 126.0 mm[Hg], HR 75.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan",Full-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1700,1700,"At 48, dental referral made for gingivitis during routine health and depression screenings.",1971-07-14,Sadie426,2019-11-21,2019-11-21,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,0.0,,,48,"SerumGlucose 85.9 mg/dL, SerumBUN 11.6 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 138.0 mmol/L, SerumK 4.3 mmol/L, SerumChloride 104.2 mmol/L, TotalCO2Serum 21.8 mmol/L, MDRDGFR 70.5 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 218.3 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 75.2 kg, BMI 27.8 kg/m2, DBP 92.0 mm[Hg], SBP 116.0 mm[Hg], HR 99.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan",Gingivitis,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Dental referral"
1701,1701,"Repeat extensive dental care at 48 for gum disease, with NaF 2.72% oral gel prescribed.",1971-07-14,Sadie426,2019-12-05,2019-12-05,33,ambulatory,185349003,Encounter for check up (procedure),85.55,4830.95,3864.76,66383009.0,Gingivitis (disorder),48,,Gum disease,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Dental fluoride, Oral health ed"
1702,1702,"Comprehensive general exam at 48 including mental health, substance use, dental referral; continued antihypertensive therapy.",1971-07-14,Sadie426,2020-02-13,2020-02-13,33,wellness,162673000,General examination of patient (procedure),136.8,927.94,742.34,,,48,"SerumGlucose 95.0 mg/dL, SerumBUN 7.2 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 139.0 mmol/L, SerumK 5.1 mmol/L, SerumChloride 109.1 mmol/L, TotalCO2Serum 26.6 mmol/L, MDRDGFR 66.7 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 0.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 269.2 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}, Height 164.5 cm, PainScore 4.0 {score}, Weight 75.5 kg, BMI 27.9 kg/m2, DBP 97.0 mm[Hg], SBP 113.0 mm[Hg], HR 95.0 /min, RR 13.0 /min, TotalCholesterol 192.5 mg/dL, HDL 47.6 mg/dL, SmokingStatus Ex-smoker (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1703,1703,Dental care and preventive education with fluoride treatment at 48.,1971-07-14,Sadie426,2020-02-27,2020-02-27,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),48,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1704,1704,General exam at 49 focusing on mental health and social needs; medications continued.,1971-07-14,Sadie426,2021-02-18,2021-02-18,33,wellness,162673000,General examination of patient (procedure),136.8,853.36,0.0,,,49,"SerumGlucose 76.5 mg/dL, SerumBUN 7.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 140.2 mmol/L, SerumK 4.5 mmol/L, SerumChloride 106.8 mmol/L, TotalCO2Serum 26.8 mmol/L, MDRDGFR 81.2 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 2.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.1 pH, UrineProteinMass 325.0 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 77.2 kg, BMI 28.5 kg/m2, DBP 92.0 mm[Hg], SBP 111.0 mm[Hg], HR 67.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen"
1705,1705,"Health maintenance at 49 including medication review, mental health, substance use, and dental referral.",1971-07-14,Sadie426,2021-03-11,2021-03-11,33,outpatient,185349003,Encounter for check up (procedure),85.55,881.81,224.65,,,49,"SerumGlucose 66.7 mg/dL, SerumBUN 19.8 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 141.7 mmol/L, SerumK 4.1 mmol/L, SerumChloride 109.9 mmol/L, TotalCO2Serum 26.7 mmol/L, MDRDGFR 83.5 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.7 pH, UrineProteinMass 320.8 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}, Height 164.5 cm, PainScore 2.0 {score}, Weight 77.3 kg, BMI 28.6 kg/m2, DBP 94.0 mm[Hg], SBP 120.0 mm[Hg], HR 72.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral"
1706,1712," patient received an active immunity vaccine.""",1971-07-14,Sadie426,2021-03-25,2021-03-25,33,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,49,,,,
1707,1714,"At 49, dental treatment included repair of composite post-fracture and fluoride application for dental caries.",1971-07-14,Sadie426,2021-03-25,2021-03-25,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3968.15,3174.52,103697008.0,Patient referral for dental care (procedure),49,,Dental caries,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental composite post-fx, Dental fluoride, Oral health ed"
1708,1717,,1971-07-14,Sadie426,2021-04-15,2021-04-15,33,outpatient,33879002,Administration of vaccine to produce active immunity (procedure),142.58,278.58,222.86,,,49,,,,
1709,1718,Comprehensive psychosocial and dental assessment at 49 showed gingivitis and medication review pending; patient not in workforce.,1971-07-14,Sadie426,2021-05-13,2021-05-13,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,49,"SerumGlucose 67.8 mg/dL, SerumBUN 11.4 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.7 mg/dL, SerumNa 141.5 mmol/L, SerumK 4.9 mmol/L, SerumChloride 106.4 mmol/L, TotalCO2Serum 21.1 mmol/L, MDRDGFR 67.8 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 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 348.7 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 77.6 kg, BMI 28.7 kg/m2, DBP 92.0 mm[Hg], SBP 112.0 mm[Hg], HR 74.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Not in workforce, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1710,1720,Repeated dental care with preventative fluoride treatment at age 49.,1971-07-14,Sadie426,2021-05-27,2021-05-27,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,66383009.0,Gingivitis (disorder),49,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1711,1722,Colonoscopy performed at age 50 as part of routine check-up.,1971-07-14,Sadie426,2021-07-15,2021-07-15,33,ambulatory,185349003,Encounter for check up (procedure),85.55,20297.15,15071.32,275978004.0,Screening for malignant neoplasm of colon (procedure),50,,,,Colonoscopy
1712,1723,Urgent care visit at 50 with multiple psychosocial assessments and dental referral; patient under stress and employed full-time.,1971-07-14,Sadie426,2021-08-12,2021-08-12,33,urgentcare,702927004,Urgent care clinic (environment),142.58,1667.38,1333.89,,,50,"SerumGlucose 73.0 mg/dL, SerumBUN 12.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 137.8 mmol/L, SerumK 3.7 mmol/L, SerumChloride 109.3 mmol/L, TotalCO2Serum 23.7 mmol/L, MDRDGFR 63.6 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 2.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.9 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 2.1 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.8 pH, UrineProteinMass 203.0 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}, Height 164.5 cm, PainScore 2.0 {score}, Weight 78.0 kg, BMI 28.8 kg/m2, DBP 91.0 mm[Hg], SBP 116.0 mm[Hg], HR 62.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan","Full-time employed, Stress","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Dental referral"
1713,1726,Continued dental maintenance and education at 50.,1971-07-14,Sadie426,2021-08-26,2021-08-26,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3105.35,2484.28,103697008.0,Patient referral for dental care (procedure),50,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed"
1714,1729,"Comprehensive check-up at 50 with focus on mental health, substance use, and medication review.",1971-07-14,Sadie426,2022-02-10,2022-02-10,33,outpatient,185349003,Encounter for check up (procedure),85.55,1800.91,1440.72,,,50,"SerumGlucose 85.7 mg/dL, SerumBUN 17.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 141.3 mmol/L, SerumK 4.8 mmol/L, SerumChloride 105.4 mmol/L, TotalCO2Serum 27.5 mmol/L, MDRDGFR 86.9 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 19.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.3 pH, UrineProteinMass 213.1 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}, Height 164.5 cm, PainScore 4.0 {score}, Weight 78.9 kg, BMI 29.2 kg/m2, DBP 96.0 mm[Hg], SBP 115.0 mm[Hg], HR 67.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1715,1732,General examination at 50 included assessments for depression and substance use; medication review recommended.,1971-07-14,Sadie426,2022-02-24,2022-02-24,33,wellness,162673000,General examination of patient (procedure),136.8,717.36,573.88,,,50,"SerumGlucose 73.7 mg/dL, SerumBUN 15.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.7 mg/dL, SerumNa 141.5 mmol/L, SerumK 4.6 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 27.0 mmol/L, MDRDGFR 68.1 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 1.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 271.1 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}, Height 164.5 cm, PainScore 0.0 {score}, Weight 78.9 kg, BMI 29.2 kg/m2, DBP 93.0 mm[Hg], SBP 114.0 mm[Hg], HR 81.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1716,1734,"ER admission at 50 with severe anxiety, gingivitis, and unemployment; extensive psychosocial and dental evaluations conducted.",1971-07-14,Sadie426,2022-06-16,2022-06-16,33,emergency,50849002,Emergency room admission (procedure),146.18,726.74,581.38,,,50,"SerumGlucose 68.3 mg/dL, SerumBUN 14.4 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.1 mg/dL, SerumNa 141.4 mmol/L, SerumK 4.1 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 26.9 mmol/L, MDRDGFR 67.6 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 1.0 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.2 pH, UrineProteinMass 180.9 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 79.5 kg, BMI 29.4 kg/m2, DBP 99.0 mm[Hg], SBP 114.0 mm[Hg], HR 73.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Unemployed, Severe anxiety, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1717,1736,"Urgent care visit without additional details, medications continued.",1971-07-14,Sadie426,2022-06-23,2022-06-23,33,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,50,"SerumGlucose 73.5 mg/dL, SerumBUN 13.0 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 141.8 mmol/L, SerumK 4.8 mmol/L, SerumChloride 103.1 mmol/L, TotalCO2Serum 26.7 mmol/L, MDRDGFR 68.5 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 236.7 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1718,1739,Urgent care visit at 50 with assessments for stress and mental health; medications ongoing.,1971-07-14,Sadie426,2022-06-30,2022-06-30,33,urgentcare,702927004,Urgent care clinic (environment),142.58,723.14,578.5,,,50,"SerumGlucose 86.6 mg/dL, SerumBUN 15.6 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 141.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 26.4 mmol/L, MDRDGFR 83.8 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 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 232.3 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}, Height 164.5 cm, PainScore 4.0 {score}, Weight 79.5 kg, BMI 29.4 kg/m2, DBP 97.0 mm[Hg], SBP 117.0 mm[Hg], HR 66.0 /min, RR 16.0 /min, SmokingStatus Ex-smoker (finding) nan",Stress,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen"
1719,1741,"Visit with medication continuation, no other details.",1971-07-14,Sadie426,2022-07-07,2022-07-07,33,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,50,"SerumGlucose 90.2 mg/dL, SerumBUN 15.7 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.4 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.9 mmol/L, SerumChloride 107.4 mmol/L, TotalCO2Serum 24.4 mmol/L, MDRDGFR 71.5 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.5 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 16.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 347.8 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1720,1743," ""Urgent care at 51 with psychiatric and substance use assessments; medications continued.""",1971-07-14,Sadie426,2022-07-14,2022-07-14,33,urgentcare,702927004,Urgent care clinic (environment),142.58,723.14,578.5,,,51,"SerumGlucose 98.7 mg/dL, SerumBUN 18.3 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 143.3 mmol/L, SerumK 4.7 mmol/L, SerumChloride 105.7 mmol/L, TotalCO2Serum 20.1 mmol/L, MDRDGFR 60.3 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 14.6 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 348.3 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 79.6 kg, BMI 29.4 kg/m2, DBP 100.0 mm[Hg], SBP 112.0 mm[Hg], HR 68.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1721,1746,Medication continued during urgent care visit at 51.,1971-07-14,Sadie426,2022-07-21,2022-07-21,33,urgentcare,702927004,Urgent care clinic (environment),142.58,427.74,0.0,,,51,"SerumGlucose 75.1 mg/dL, SerumBUN 19.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 141.7 mmol/L, SerumK 4.4 mmol/L, SerumChloride 109.5 mmol/L, TotalCO2Serum 28.8 mmol/L, MDRDGFR 69.0 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 320.8 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1722,1748,"At 51, treated for acute bronchitis with combination acetaminophen, dextromethorphan, and doxylamine solution.",1971-07-14,Sadie426,2022-07-28,2022-07-28,33,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,0.0,10509002.0,Acute bronchitis (disorder),51,,Acute bronchitis,APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln,
1723,1749,Comprehensive dental care and preventative fluoride treatment at 51.,1971-07-14,Sadie426,2022-07-28,2022-07-28,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2313.03,66383009.0,Gingivitis (disorder),51,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1724,1752,Urgent care with extensive psychosocial screening; patient reports stress.,1971-07-14,Sadie426,2022-08-11,2022-08-11,33,urgentcare,702927004,Urgent care clinic (environment),142.58,723.14,578.5,,,51,"SerumGlucose 87.2 mg/dL, SerumBUN 8.9 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 139.2 mmol/L, SerumK 4.0 mmol/L, SerumChloride 103.1 mmol/L, TotalCO2Serum 23.0 mmol/L, MDRDGFR 78.0 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.7 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.4 pH, UrineProteinMass 298.7 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}, Height 164.5 cm, PainScore 4.0 {score}, Weight 79.7 kg, BMI 29.5 kg/m2, DBP 95.0 mm[Hg], SBP 115.0 mm[Hg], HR 79.0 /min, RR 12.0 /min, SmokingStatus Ex-smoker (finding) nan",Stress,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1725,1753,Medication reconciliation conducted at age 51.,1971-07-14,Sadie426,2022-08-18,2022-08-18,33,outpatient,185349003,Encounter for check up (procedure),85.55,1097.51,878.0,,,51,"SerumGlucose 82.3 mg/dL, SerumBUN 8.6 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 8.6 mg/dL, SerumNa 138.7 mmol/L, SerumK 4.2 mmol/L, SerumChloride 101.3 mmol/L, TotalCO2Serum 20.7 mmol/L, MDRDGFR 65.5 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 7.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 240.9 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
1726,1754,Psychosocial and dental evaluations performed with medication review pending; employed full-time.,1971-07-14,Sadie426,2023-01-12,2023-01-12,33,urgentcare,702927004,Urgent care clinic (environment),142.58,723.14,578.5,,,51,"SerumGlucose 96.3 mg/dL, SerumBUN 13.0 mg/dL, SerumCreatinine 1.8 mg/dL, SerumCalcium 8.9 mg/dL, SerumNa 138.8 mmol/L, SerumK 4.0 mmol/L, SerumChloride 104.4 mmol/L, TotalCO2Serum 27.1 mmol/L, MDRDGFR 87.4 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 6.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 278.3 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 80.4 kg, BMI 29.7 kg/m2, DBP 93.0 mm[Hg], SBP 121.0 mm[Hg], HR 66.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Dental referral"
1727,1755,Medication reconciliation completed during urgent care visit at 51.,1971-07-14,Sadie426,2023-01-19,2023-01-19,33,urgentcare,702927004,Urgent care clinic (environment),142.58,1290.54,1032.42,,,51,"SerumGlucose 88.9 mg/dL, SerumBUN 16.4 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.5 mg/dL, SerumNa 137.9 mmol/L, SerumK 3.7 mmol/L, SerumChloride 107.9 mmol/L, TotalCO2Serum 21.4 mmol/L, MDRDGFR 62.6 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 1.8 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.0 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 13.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.6 pH, UrineProteinMass 150.8 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
1728,1756,Comprehensive psychosocial and substance use assessments; medication review pending; patient part-time employed.,1971-07-14,Sadie426,2023-01-26,2023-01-26,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,51,"SerumGlucose 95.0 mg/dL, SerumBUN 15.1 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 142.7 mmol/L, SerumK 4.5 mmol/L, SerumChloride 105.0 mmol/L, TotalCO2Serum 28.0 mmol/L, MDRDGFR 75.1 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 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 8.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 211.8 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 80.5 kg, BMI 29.7 kg/m2, DBP 91.0 mm[Hg], SBP 119.0 mm[Hg], HR 73.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Part-time employed","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1729,1757,Routine urgent care visit with antihypertensive meds continued.,1971-07-14,Sadie426,2023-02-02,2023-02-02,33,urgentcare,702927004,Urgent care clinic (environment),142.58,291.74,233.38,,,51,"SerumGlucose 75.5 mg/dL, SerumBUN 12.3 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 137.1 mmol/L, SerumK 4.3 mmol/L, SerumChloride 101.7 mmol/L, TotalCO2Serum 26.2 mmol/L, MDRDGFR 86.9 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.3 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.7 pH, UrineProteinMass 296.0 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}",,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",
1730,1758,Psychosocial and dental assessments at 51 revealed gingivitis; medication continued.,1971-07-14,Sadie426,2023-02-09,2023-02-09,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,51,"SerumGlucose 91.7 mg/dL, SerumBUN 19.8 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 141.0 mmol/L, SerumK 4.8 mmol/L, SerumChloride 107.4 mmol/L, TotalCO2Serum 23.5 mmol/L, MDRDGFR 75.4 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 10.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.3 pH, UrineProteinMass 282.4 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 80.5 kg, BMI 29.8 kg/m2, DBP 94.0 mm[Hg], SBP 112.0 mm[Hg], HR 83.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan",Gingivitis,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1731,1759,Extensive dental surgery and follow-up care for gum disease at age 51.,1971-07-14,Sadie426,2023-02-16,2023-02-16,33,ambulatory,185349003,Encounter for check up (procedure),85.55,4399.55,3519.64,103697008.0,Patient referral for dental care (procedure),51,,Gum disease,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed"
1732,1760,Encounter at 51 for viral sinusitis; no procedures or medications noted.,1971-07-14,Sadie426,2023-02-23,2023-02-23,33,ambulatory,185345009,Encounter for symptom (procedure),85.55,85.55,68.44,444814009.0,Viral sinusitis (disorder),51,,Viral sinusitis,,
1733,1761,General exam with psychiatric and substance use evaluations; patient reports stress.,1971-07-14,Sadie426,2023-03-02,2023-03-02,33,wellness,162673000,General examination of patient (procedure),136.8,1007.64,806.1,,,51,"SerumGlucose 81.7 mg/dL, SerumBUN 19.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.8 mg/dL, SerumNa 140.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 108.5 mmol/L, TotalCO2Serum 25.0 mmol/L, MDRDGFR 80.2 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 2.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.5 pH, UrineProteinMass 162.5 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}, Height 164.5 cm, PainScore 0.0 {score}, Weight 80.6 kg, BMI 29.8 kg/m2, DBP 91.0 mm[Hg], SBP 115.0 mm[Hg], HR 65.0 /min, RR 14.0 /min, TotalCholesterol 173.9 mg/dL, HDL 44.3 mg/dL, SmokingStatus Ex-smoker (finding) nan",Stress,"Lisinopril 10mg tab, 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"
1734,1762,Medication reconciliation at 51 with medication review pending.,1971-07-14,Sadie426,2023-03-09,2023-03-09,33,urgentcare,702927004,Urgent care clinic (environment),142.58,507.44,405.94,,,51,"SerumGlucose 86.8 mg/dL, SerumBUN 14.2 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 10.2 mg/dL, SerumNa 140.4 mmol/L, SerumK 4.8 mmol/L, SerumChloride 105.6 mmol/L, TotalCO2Serum 20.4 mmol/L, MDRDGFR 65.9 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.1 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.9 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 276.9 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}",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab",Med rec
1735,1763,Comprehensive assessments including dental referral and medication review pending; patient employed full-time with gingivitis.,1971-07-14,Sadie426,2023-05-04,2023-05-04,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,51,"SerumGlucose 64.5 mg/dL, SerumBUN 9.7 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 8.8 mg/dL, SerumNa 137.1 mmol/L, SerumK 5.0 mmol/L, SerumChloride 107.8 mmol/L, TotalCO2Serum 21.7 mmol/L, MDRDGFR 83.0 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 1.4 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.5 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 189.5 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 80.9 kg, BMI 29.9 kg/m2, DBP 97.0 mm[Hg], SBP 118.0 mm[Hg], HR 92.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1736,1764,Routine dental care and education at 51.,1971-07-14,Sadie426,2023-05-18,2023-05-18,33,ambulatory,185349003,Encounter for check up (procedure),85.55,2673.95,2139.16,66383009.0,Gingivitis (disorder),51,,,,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed"
1737,1765,Psychosocial assessments reveal obesity with BMI >30 at age 51; medications ongoing.,1971-07-14,Sadie426,2023-06-29,2023-06-29,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,532.88,,,51,"SerumGlucose 76.3 mg/dL, SerumBUN 14.6 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.3 mg/dL, SerumNa 140.8 mmol/L, SerumK 4.9 mmol/L, SerumChloride 101.4 mmol/L, TotalCO2Serum 22.9 mmol/L, MDRDGFR 77.7 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 1.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.7 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.2 pH, UrineProteinMass 245.6 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}, Height 164.5 cm, PainScore 4.0 {score}, Weight 81.2 kg, BMI 30.0 kg/m2, DBP 94.0 mm[Hg], SBP 131.0 mm[Hg], HR 95.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan",Obesity BMI>30,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen"
1738,1766,General exam at 52 with psychosocial and dental assessment; reports environmental violence exposure.,1971-07-14,Sadie426,2024-03-07,2024-03-07,33,wellness,162673000,General examination of patient (procedure),136.8,927.94,0.0,,,52,"SerumGlucose 92.4 mg/dL, SerumBUN 17.2 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 140.9 mmol/L, SerumK 4.7 mmol/L, SerumChloride 102.6 mmol/L, TotalCO2Serum 23.4 mmol/L, MDRDGFR 72.2 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 1.3 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.8 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 3.4 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.1 pH, UrineProteinMass 192.3 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}, Height 164.5 cm, PainScore 3.0 {score}, Weight 77.9 kg, BMI 28.8 kg/m2, DBP 91.0 mm[Hg], SBP 125.0 mm[Hg], HR 63.0 /min, RR 15.0 /min, AutoWBCCount 5.4 10*3/uL, AutoRBCCount 5.0 10*6/uL, BloodHgb 13.6 g/dL, AutoHct 41.0 %, AutoMCV 89.7 fL, MCH 31.2 pg, MCHC 34.8 g/dL, RDWv 42.9 fL, PlateletCount 380.4 10*3/uL, PDW 186.0 fL, MPV 11.5 fL, SmokingStatus Ex-smoker (finding) nan",Enviro violence,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1739,1767,Dental check-up with fluoride treatment at 52.,1971-07-14,Sadie426,2024-03-21,2024-03-21,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2510.76,103697008.0,Patient referral for dental care (procedure),52,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1740,1768,Comprehensive assessments at age 52 indicate ongoing stress.,1971-07-14,Sadie426,2024-04-04,2024-04-04,33,outpatient,185349003,Encounter for check up (procedure),85.55,1110.08,888.06,,,52,"SerumGlucose 96.1 mg/dL, SerumBUN 18.5 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 9.6 mg/dL, SerumNa 137.5 mmol/L, SerumK 4.3 mmol/L, SerumChloride 104.1 mmol/L, TotalCO2Serum 23.6 mmol/L, MDRDGFR 68.5 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 1.7 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.6 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 18.8 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.5 pH, UrineProteinMass 205.4 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}, Height 164.5 cm, PainScore 1.0 {score}, Weight 77.4 kg, BMI 28.6 kg/m2, DBP 94.0 mm[Hg], SBP 118.0 mm[Hg], HR 69.0 /min, RR 13.0 /min, SmokingStatus Ex-smoker (finding) nan",Stress,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1741,1769,Routine dental services and fluoride treatment at 52.,1971-07-14,Sadie426,2024-04-18,2024-04-18,33,ambulatory,185349003,Encounter for check up (procedure),85.55,3536.75,2829.4,103697008.0,Patient referral for dental care (procedure),52,,,NaF 2.72% oral gel,"Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed"
1742,1770,Psychosocial screening and medication review pending at 53.,1971-07-14,Sadie426,2024-07-25,2024-07-25,33,outpatient,185349003,Encounter for check up (procedure),85.55,666.11,0.0,,,53,"SerumGlucose 82.0 mg/dL, SerumBUN 19.9 mg/dL, SerumCreatinine 1.9 mg/dL, SerumCalcium 10.0 mg/dL, SerumNa 137.6 mmol/L, SerumK 3.8 mmol/L, SerumChloride 102.1 mmol/L, TotalCO2Serum 27.0 mmol/L, MDRDGFR 87.1 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 1.1 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 0.4 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 9.1 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 5.9 pH, UrineProteinMass 226.1 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}, Height 164.5 cm, PainScore 2.0 {score}, Weight 75.4 kg, BMI 27.9 kg/m2, DBP 93.0 mm[Hg], SBP 113.0 mm[Hg], HR 66.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan",Med review due,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1743,1775,Comprehensive mental health and substance assessments along with medication reconciliation; patient part-time employed.,1971-07-14,Sadie426,2025-02-20,2025-02-20,33,outpatient,185349003,Encounter for check up (procedure),85.55,1664.91,701.66,,,53,"SerumGlucose 64.8 mg/dL, SerumBUN 10.7 mg/dL, SerumCreatinine 2.1 mg/dL, SerumCalcium 9.0 mg/dL, SerumNa 141.9 mmol/L, SerumK 3.9 mmol/L, SerumChloride 106.5 mmol/L, TotalCO2Serum 28.8 mmol/L, MDRDGFR 75.9 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 0.6 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.3 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 15.2 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.8 pH, UrineProteinMass 313.0 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}, Height 164.5 cm, PainScore 0.0 {score}, Weight 75.7 kg, BMI 28.0 kg/m2, DBP 95.0 mm[Hg], SBP 111.0 mm[Hg], HR 62.0 /min, RR 15.0 /min, SmokingStatus Ex-smoker (finding) nan",Part-time employed,"Lisinopril 10mg tab, Amlodipine 2.5mg tab","Med rec, Health/social needs assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess"
1744,1781,"General exam at 53 showed ongoing stress, gingivitis, and pending medication review; patient employed full-time.",1971-07-14,Sadie426,2025-03-13,2025-03-13,33,wellness,162673000,General examination of patient (procedure),136.8,717.36,573.88,,,53,"SerumGlucose 92.4 mg/dL, SerumBUN 13.9 mg/dL, SerumCreatinine 2.0 mg/dL, SerumCalcium 9.1 mg/dL, SerumNa 139.9 mmol/L, SerumK 5.0 mmol/L, SerumChloride 110.1 mmol/L, TotalCO2Serum 20.1 mmol/L, MDRDGFR 88.0 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 1.5 mg/dL, UrineGlucosePresence Urine glucose test = ++ (finding) {nominal}, UrineBilirubinMass 1.2 mg/dL, UrineBilirubinPresence Finding of bilirubin in urine (finding) {nominal}, UrineKetonesMass 12.3 mg/dL, UrineKetonesPresence Urine ketone test = + (finding) {nominal}, UrineSpGr 1.0 {nominal}, UrinePH 6.0 pH, UrineProteinMass 345.5 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}, Height 164.5 cm, PainScore 2.0 {score}, Weight 75.8 kg, BMI 28.0 kg/m2, DBP 94.0 mm[Hg], SBP 124.0 mm[Hg], HR 73.0 /min, RR 14.0 /min, SmokingStatus Ex-smoker (finding) nan","Med review due, Full-time employed, Stress, Gingivitis","Lisinopril 10mg tab, Amlodipine 2.5mg tab","Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral"
1745,1788,Dental consultation at 53 without further detail.,1971-07-14,Sadie426,2025-03-27,2025-03-27,33,ambulatory,185349003,Encounter for check up (procedure),85.55,516.95,413.56,66383009.0,Gingivitis (disorder),53,,,,Dental consult