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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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,044.65 | 0 | null | null | 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, MCH... | Med review due | null | Med rec | Well child visit at age 3 including medication reconciliation. Med review due to assess current medications and overall health. 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... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 488.5 | 0 | null | null | 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 | null | Med rec | Follow-up well child visit with medication reconciliation performed. Continued monitoring required; med review is due. 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, Sm... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 816.8 | 0 | null | null | 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 | null | null | Routine well child visit; med review remains due for updated medication and health status assessment. 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 Neve... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 816.8 | 0 | null | null | 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 | null | null | null | Standard well child visit completed with no specific procedures or medication changes reported. 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 smok... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,340.17 | 0 | null | null | 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 | null | null | Med rec | Well child visit with medication reconciliation; patient remains stable without active conditions. 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 s... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 805.97 | 0 | null | null | 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 | null | Med rec | Well child visit focusing on medication reconciliation; med review is indicated to ensure up-to-date management. 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, Smoking... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 816.8 | 0 | null | null | 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 | null | null | Routine well child visit, with med review still pending to evaluate any ongoing medication needs. 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 sm... |
7 | 7 | Well child visit including medication reconciliation, no new issues identified. | 2019-12-03 | Kareem959 | 2021-05-11 | 2021-05-11 | 0 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 488.5 | 0 | null | null | 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 | null | null | Med rec | Well child visit including medication reconciliation, no new issues identified. 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 (fin... |
8 | 8 | Regular well child examination completed; medication review remains due. | 2019-12-03 | Kareem959 | 2021-11-09 | 2021-11-09 | 0 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 272.8 | 0 | null | null | 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 | null | null | Regular well child examination completed; medication review remains due. 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) n... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | null | null | Dental referral | Well child visit with a dental referral issued for further oral health evaluation. 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... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 3 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | Comprehensive dental checkup performed including scaling, bitewing x-rays, gingival examination, and oral health education. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | null | null | Dental referral | Well child visit with additional dental referral to monitor oral health progress. 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,... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 1,251.86 | 103,697,008 | Patient referral for dental care (procedure) | 3 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | Dental checkup performed with scaling, bitewing x-rays, fluoride treatment (NaF 2.72% oral gel), gingival exam, and oral health education. |
13 | 13 | Routine well child visit without notable procedures or changes. | 2019-12-03 | Kareem959 | 2023-05-09 | 2023-05-09 | 0 | wellness | 410,620,009 | Well child visit (procedure) | 136.8 | 136.8 | 0 | null | null | 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 | null | null | null | Routine well child visit without notable procedures or changes. 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 Nev... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 272.8 | 0 | null | null | 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 | null | null | null | Another routine well child visit indicating stable health and no new issues. 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, Smo... |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 444,814,009 | Viral sinusitis (disorder) | 4 | null | Viral sinusitis | null | null | Encounter at age 4 for symptom evaluation; diagnosed with viral sinusitis. Symptomatic treatment advised. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,248.2 | 0 | null | null | 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 | null | null | Dental referral | Well child visit with dental referral to maintain oral health follow-up. 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 |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 4 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | Dental checkup with cleaning, gingival exam, and oral health education performed at age 4. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 704.2 | 0 | null | null | 7 | null | Med review due | null | null | Well child visit conducted at age 7. No procedures or medications recorded. Med review due to ensure current medications are up to date. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 953.11 | 0 | null | null | 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 | null | Med rec, Dental referral | At age 9, well child visit included medication reconciliation and a dental referral due to gingivitis diagnosis. No medications prescribed. 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 sm... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 66,383,009 | Gingivitis (disorder) | 9 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | Dental check-up 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. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,152.67 | 0 | null | null | 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 | null | Med rec, Dental referral | Routine well child visit at age 10 with medication reconciliation and dental referral. Med review advised. 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 |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 10 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | 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. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 755.38 | 0 | null | null | 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 4... | Med review due | null | null | Well child visit at age 11. No procedures or medications documented. Medication review due. 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,... |
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 | 50,849,002 | Emergency room admission (procedure) | 146.18 | 577.58 | 0 | 125,601,008 | Injury of knee (disorder) | 11 | null | Knee injury, Patellar tendon rupture | APAP 160mg chew tab | Knee XR | 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. |
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 | 183,495,009 | Non-urgent orthopedic admission (procedure) | 146.18 | 18,246.94 | 8,119.06 | 30,832,001 | Rupture of patellar tendon (disorder) | 11 | null | null | null | Knee manip, Postop care | Orthopedic admission for knee manipulation and postoperative care at age 11 following tendon injury. |
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 | 32,485,007 | Hospital admission (procedure) | 110.92 | 14,778.52 | 14,778.52 | 25,675,004 | Patient transfer to skilled nursing facility (procedure) | 11 | null | null | null | 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, Nu... | 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. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,407.2 | 0 | null | null | 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 | null | Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral | Well child visit at age 12 included medication reconciliation, mental health screenings (anxiety, depression, substance use), anticipatory guidance, and dental referral for gingivitis. 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.... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | 66,383,009 | Gingivitis (disorder) | 12 | null | Dental caries | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed | 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. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 840.2 | 0 | null | null | 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 | null | Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Health risk ed | At age 13, well child visit focused on mental health screenings and health risk education. Medications reviewed and counseling regarding risk behaviors provided. 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, S... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,240.24 | 0 | null | null | 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 | null | null | Med rec, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide | Routine adolescent visit at age 14 with medication reconciliation, depression screening, substance use assessment, and anticipatory guidance. 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 s... |
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 | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 0 | null | null | 15 | null | null | null | null | Vaccination administered at age 15 to produce active immunity. No additional details provided. |
32 | 32 | Second vaccination administered at age 15. | 2006-05-26 | Dante562 | 2021-06-25 | 2021-06-25 | 1 | outpatient | 33,879,002 | Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 0 | null | null | 15 | null | null | null | null | Second vaccination administered at age 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 | 410,620,009 | Well child visit (procedure) | 136.8 | 966.31 | 0 | null | null | 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 | null | Med rec, Anxiety assess, Depression screen, PHQ-9 screen, Substance use assess, CRAFFT screen, Anticipatory guide | Well child visit at 15 included medication reconciliation, mental health screening, substance use assessment, anticipatory guidance, and med review due. 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, SmokingSta... |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,217.19 | 0 | null | null | 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 3... | Med review due | null | Med rec, Anxiety assess, Substance use assess, CRAFFT screen, Anticipatory guide, Dental referral | At age 16, well child visit with med reconciliation, mental health and substance use assessments, anticipatory guidance, dental referral, and med review due. 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, AutoW... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 16 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | Dental check-up at age 16 with consult, scaling, gingival exam, and oral health education. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,567 | 0 | null | null | 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 | null | Med rec, Anxiety assess, Depression screen, PHQ-9 screen | At age 17, well child visit included medication reconciliation and mental health screening. Med review due. 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 |
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 | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 0 | 82,423,001 | Chronic pain (finding) | 18 | DrugScreen Negative (qualifier value) nan | Chronic pain, Chronic LBP | APAP 300mg/Hydrocodone 5mg tab | null | Encounter for chronic pain and chronic low back pain at age 18. Pain managed with acetaminophen 300mg/hydrocodone 5mg tablets. DrugScreen Negative (qualifier value) nan |
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 h... | 2006-05-26 | Dante562 | 2024-07-19 | 2024-07-19 | 1 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | 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 h... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,399.55 | 0 | 66,383,009 | Gingivitis (disorder) | 18 | null | Gum disease | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed | 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. |
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 | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 82,423,001 | Chronic pain (finding) | 18 | null | null | 12hr Hydrocodone 10mg ER cap | null | Follow-up encounter at 18 for pain management, patient prescribed 12-hour extended-release hydrocodone 10mg capsules. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 18 | null | HS education | null | null | General exam conducted for 18-year-old patient. No procedures, medications, or conditions recorded. Patient currently in high school 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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,547.58 | 0 | null | null | 22 | null | Stress | null | null | At age 22, general examination reveals patient experiencing stress. No specific procedures or medications given. |
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 | 185,347,001 | Encounter for problem (procedure) | 85.55 | 85.55 | 0 | 82,423,001 | Chronic pain (finding) | 24 | null | Chronic pain, Chronic LBP | null | null | Patient presents with chronic pain, specifically chronic low back pain (LBP). No medications or procedures documented during this encounter. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 25 | null | Med review due | null | null | Routine general exam at age 25 with recommendation for medication review due to ongoing care needs. |
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 | 390,906,007 | Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | 82,423,001 | Chronic pain (finding) | 25 | null | null | APAP 300mg/Hydrocodone 5mg tab | null | Follow-up visit at age 25 with prescription for APAP 300mg/Hydrocodone 5mg tablets for pain management. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 26 | null | Part-time employed, IPV, Drug misuse | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | null | General exam reveals part-time employment status with history of intimate partner violence (IPV) and drug misuse. Pain managed with Tylenol and Ibuprofen. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | 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. 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 /... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | 66,383,009 | Gingivitis (disorder) | 27 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | Dental check-up included consult, scaling above and below gums, gingival exam, and oral health education. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 778.78 | 0 | null | null | 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... | Not in workforce, Stress | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | Health/social needs assess, Anxiety assess, Depression screen, Depression screen | Assessment addressing health, anxiety, and depression status. Patient not in workforce and experiencing stress. Medication continued for pain. 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.... |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | null | 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 | Comprehensive screening including domestic abuse and substance use. Patient maintained on Tylenol and Ibuprofen. 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 |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 444,814,009 | Viral sinusitis (disorder) | 29 | null | Viral sinusitis | null | null | Presenting symptom includes viral sinusitis with no specific procedures or medications documented. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 994.48 | 0 | null | null | 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 | Medication reconciliation and screening performed. Patient full-time employed with ongoing gingivitis; continues pain medication. 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, SmokingSt... |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 4,830.95 | 0 | 66,383,009 | Gingivitis (disorder) | 30 | null | Gum disease | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental surgery, Dental desensitizing, Gingivectomy, Dental postop care, Oral health ed | Extensive dental procedures conducted including surgery and gingivectomy for treatment of gum disease. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 840.2 | 0 | null | null | 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 | Patient assessed for health and substance use, dental referral issued. Medication review recommended. 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 |
55 | 55 | Routine dental maintenance with examinations and scaling. | 1989-02-12 | Mitchel812 | 2020-04-06 | 2020-04-06 | 2 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 31 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | Routine dental maintenance with examinations and scaling. |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 36,971,009 | Sinusitis (disorder) | 31 | null | Sinusitis | null | null | Patient presents with sinusitis symptoms with no procedures or medications documented during this visit. |
57 | 57 | General exam includes health and substance use assessments. Medication continued. | 1989-02-12 | Mitchel812 | 2021-03-29 | 2021-03-29 | 2 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | null | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess | General exam includes health and substance use assessments. Medication continued. 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 |
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 | 702,927,004 | Urgent care clinic (environment) | 142.58 | 573.98 | 0 | null | null | 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 | Urgent care visit with multiple health and dental screenings performed. Patient experiencing stress and gingivitis. 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 |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 437.25 | 0 | null | null | 32 | null | null | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | Med rec | Medication reconciliation completed during routine check-up. Patient continues on pain medications. |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 10,606.55 | 4,232.09 | 10,509,002 | Acute bronchitis (disorder) | 32 | null | Acute bronchitis | APAP 325mg tab | Sputum exam | Symptomatic encounter for acute bronchitis; sputum exam conducted. Patient on Tylenol. |
61 | 61 | Dental check including fluoride application completed. | 1989-02-12 | Mitchel812 | 2021-08-30 | 2021-08-30 | 2 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 3,536.75 | 66,383,009 | Gingivitis (disorder) | 32 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | Dental check including fluoride application completed. |
62 | 62 | Health and substance assessments performed with medication review due. | 1989-02-12 | Mitchel812 | 2022-04-04 | 2022-04-04 | 2 | wellness | 162,673,000 | General examination of patient (procedure) | 136.8 | 717.36 | 0 | null | null | 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 ... | Med review due | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | Health/social needs assess, Substance use assess, Drug abuse screen | Health and substance assessments performed with medication review due. 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/... |
63 | 63 | ER admission for skin burn treated with Naproxen. | 1989-02-12 | Mitchel812 | 2022-10-21 | 2022-10-21 | 2 | emergency | 50,849,002 | Emergency room admission (procedure) | 146.18 | 146.18 | 0 | 48,333,001 | Burn injury (morphologic abnormality) | 33 | null | Burn, Skin burn | Naproxen Na 220mg tab | null | ER admission for skin burn treated with Naproxen. |
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 | 32,485,007 | Hospital admission (procedure) | 110.92 | 20,099.08 | 9,132.14 | 25,675,004 | Patient transfer to skilled nursing facility (procedure) | 33 | null | null | null | 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, ... | Hospitalized for burn management requiring extensive multidisciplinary care including nursing, PT, OT, and speech therapy. |
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 | 185,349,003 | Encounter for check up (procedure) | 85.55 | 85.55 | 85.55 | 403,190,006 | Epidermal burn of skin (disorder) | 33 | null | null | null | null | Routine check-up post hospital discharge. No medications or procedures noted. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | null | 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 | Comprehensive mental health and substance use assessments conducted; patient currently not in workforce. 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 |
67 | 67 | Dental maintenance visit with fluoride treatment. | 1989-02-12 | Mitchel812 | 2023-04-24 | 2023-04-24 | 2 | ambulatory | 185,349,003 | Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | 103,697,008 | Patient referral for dental care (procedure) | 34 | null | null | NaF 2.72% oral gel | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | Dental maintenance visit with fluoride treatment. |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 4,785.18 | 2,103.24 | 10,509,002 | Acute bronchitis (disorder) | 34 | null | Acute bronchitis | APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln | Sputum exam | Presented with acute bronchitis; sputum exam performed. Medication includes APAP combination solution. |
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 | 702,927,004 | Urgent care clinic (environment) | 142.58 | 789.68 | 473.81 | null | null | 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 | Urgent care visit including medication reconciliation and health/social needs assessment. Patient full-time employed but experiencing stress. 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 (findin... |
70 | 70 | Medication reconciliation performed; medication review recommended. | 1989-02-12 | Mitchel812 | 2023-08-14 | 2023-08-14 | 2 | outpatient | 185,349,003 | Encounter for check up (procedure) | 85.55 | 437.25 | 262.35 | null | null | 34 | null | Med review due | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | Med rec | Medication reconciliation performed; medication review recommended. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 568.2 | 0 | null | null | 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 | Comprehensive assessments including domestic abuse and substance use screenings performed. Medication review due. 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 |
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 | 50,849,002 | Emergency room admission (procedure) | 146.18 | 4,407.08 | 0 | 128,613,002 | Seizure disorder (disorder) | 4 | null | Seizure d/o, H/o seizure, Epilepsy | null | null | 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. |
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 | 410,620,009 | Well child visit (procedure) | 136.8 | 1,112.77 | 703.82 | null | null | 17 | null | Risk behaviors | null | null | At 17 years, patient attended well-child visit addressing risk behaviors typical for adolescent assessment. No procedures or medications recorded. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 704.2 | 376.96 | null | null | 18 | null | Higher ed | null | null | During general examination at age 18, patient noted to be enrolled in higher education. No acute complaints or medications documented. |
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 | 702,927,004 | Urgent care clinic (environment) | 142.58 | 1,056.56 | 658.84 | null | null | 21 | null | Obesity BMI>30, IPV | null | null | At 21 years, urgent care visit revealed obesity with BMI >30 and history of intimate partner violence (IPV). Counseling and intervention recommended. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 1,005.38 | 804.3 | 79,586,000 | Tubal pregnancy (disorder) | 30 | null | H/o miscarriage | null | null | Prenatal visit at 30 years with history of miscarriage. Patient under routine prenatal care therapy. No medications or procedures recorded. |
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 | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 39 | null | null | Jolivette 28d pack | null | Patient at 39 years presented for treatment consultation; currently on Jolivette 28-day oral contraceptive 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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 914.78 | 545.42 | null | null | 40 | null | Med review due, Part-time employed, Stress | null | null | General exam at 40 years notes medication review due, patient is part-time employed, reports stress symptoms. |
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 | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 40 | null | null | Jolivette 28d pack | null | Consultation at age 40; patient continues Jolivette 28-day pack for contraception management. |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | 195,662,009 | Acute viral pharyngitis (disorder) | 40 | BodyTemp 37.2 Cel | Acute viral pharyngitis | null | null | At 40 years, patient presented with symptoms consistent with acute viral pharyngitis; supportive care advised. BodyTemp 37.2 Cel |
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 | 424,441,002 | Prenatal initial visit (regime/therapy) | 142.58 | 42,253.81 | 33,803.06 | 72,892,002 | Normal pregnancy (finding) | 40 | null | Normal preg | null | Preg test, Fetal viability US, Fundal height eval, Fetal heart auscult, Blood typing, Complete hemogram w/diff, HBsAg, HIV Ag test, Chlamydia Ag test, GC titer, Syphilis titer, Urine cx, Genital cyto smear, Urine DM screen, Hep C Ab confirm, Rubella screen, VZV Ab, TB skin test, Urine protein, PE | Initial prenatal visit at age 40 included comprehensive labs and fetal assessments confirming normal pregnancy status. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 6,280.86 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy | Prenatal follow-up at 41 years including fetal heart auscultation, fundal height evaluation, and amniocentesis with FISH for aneuploidy screening. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 15,375.16 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult | Continued prenatal monitoring at age 41 with fetal anatomy scan and antenatal AFP testing, fetal heart auscultation normal. |
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 | 185,345,009 | Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | 444,814,009 | Viral sinusitis (disorder) | 41 | null | Viral sinusitis | null | null | Encounter at 41 years for symptoms of viral sinusitis managed conservatively. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 9,870.76 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Fundal height eval, Fetal heart auscult | Routine prenatal visit at 41 with fundal height evaluation and fetal heart auscultation within normal limits. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 4,886.03 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Fundal height eval, Fetal heart auscult | Additional prenatal care at 41 years showing stable fetal development based on fundal height and heart auscultation. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 9,745.6 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult | Prenatal visit at 41 years included blood work, DTaP vaccination, urine glucose screening and fetal vital checks. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 8,683.9 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Fundal height eval, Fetal heart auscult | Continued prenatal assessments demonstrating normal fetal growth and heart rate at age 41. |
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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 6,540.75 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | GBS Ag, Fundal height eval, Fetal heart auscult | Screening for Group B Streptococcus antigen performed along with routine fetal assessments at 41 years. |
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 | 183,460,006 | Obstetric emergency hospital admission (procedure) | 146.18 | 4,782.48 | 0 | 72,892,002 | Normal pregnancy (finding) | 41 | null | null | null | Epidural, C-section | Emergency obstetric admission resulted in epidural analgesia and Cesarean section delivery at age 41. |
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 | 169,762,003 | Postnatal visit (regime/therapy) | 142.58 | 1,005.38 | 0 | null | null | 41 | null | null | null | PE, Depression screen | Postnatal visit including physical examination and depression screening; patient monitored for postpartum depression. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,050.78 | 1,050.78 | null | null | 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 | null | Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess | Comprehensive evaluation at 42 years revealed limited social contact and unhealthy alcohol consumption screened with AUDIT-C. 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, SmokingStatu... |
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 | 424,441,002 | Prenatal initial visit (regime/therapy) | 142.58 | 16,213.22 | 16,178.22 | 72,892,002 | Normal pregnancy (finding) | 42 | null | Normal preg | null | Preg test, Fetal viability US | At 42 years, patient had initial prenatal visit confirming normal pregnancy via pregnancy test and fetal viability ultrasound. |
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 | 270,427,003 | Patient-initiated encounter (procedure) | 85.55 | 4,444.98 | 3,369.58 | 72,892,002 | Normal pregnancy (finding) | 43 | null | null | null | TOP counseling, TOP | Patient-initiated visit at 43 years included counseling and management for termination of pregnancy (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 | 424,619,006 | Prenatal visit (regime/therapy) | 142.58 | 1,443.68 | 1,154.94 | 72,892,002 | Normal pregnancy (finding) | 43 | null | null | null | TOP care, PE, Depression screen | Prenatal visit at 43 years involved follow-up TOP care, physical exam and depression screening. |
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 | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 8,872.88 | 7,098.3 | 389,095,005 | Contraception care (regime/therapy) | 43 | null | null | Etonogestrel 68mg implant | SC contraceptive insert | At 43 years, consultation led to insertion of subcutaneous contraceptive implant (Etonogestrel 68mg) for long-term contraception. |
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 | 162,673,000 | General examination of patient (procedure) | 136.8 | 1,296.91 | 851.13 | null | null | 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 | null | Med rec, Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | General exam and screening at 44 years found patient employed full-time but socially isolated; multiple psychosocial assessments completed. 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)... |
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 | 698,314,001 | Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | 389,095,005 | Contraception care (regime/therapy) | 44 | null | null | null | null | Treatment consultation with no documented procedures or medications at 44 years. |
99 | 99 | Intrauterine device insertion performed at 44 years as contraceptive measure. | 1975-02-15 | Arie325 | 2019-10-09 | 2019-10-09 | 3 | outpatient | 308,335,008 | Patient encounter procedure (procedure) | 142.58 | 4,052.91 | 3,242.32 | 389,095,005 | Contraception care (regime/therapy) | 44 | null | null | null | IUD insertion | Intrauterine device insertion performed at 44 years as contraceptive measure. |
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