index int64 0 1.75k | ENCOUNTER_ID int64 0 1.79k | BIRTHDATE stringdate 1922-09-26 00:00:00 2019-12-03 00:00:00 | FIRST stringclasses 33
values | START stringdate 1939-11-15 00:00:00 2025-03-27 00:00:00 | STOP stringdate 1939-11-15 00:00:00 2025-03-27 00:00:00 | PATIENT_ID int64 0 33 | ENCOUNTERCLASS stringclasses 10
values | CODE int64 1.51M 703M | BASE_ENCOUNTER_COST float64 75 146 | TOTAL_CLAIM_COST float64 75 106k | PAYER_COVERAGE float64 0 85k | REASONCODE float64 6.53M 124,171B ⌀ | PATIENT_AGE int64 3 89 | DESCRIPTION_MEDICATIONS stringclasses 90
values | combined_text stringlengths 191 13.2k |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | 0 | 2019-12-03 | Kareem959 | 2019-12-03 | 2019-12-03 | 0 | wellness | 410,620,009 | 136.8 | 1,044.65 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit at age 3 including medication reconciliation. Med review due to assess current medications and overall health.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 52.0 cm, PainScore 3.0 {score}, Weight 3.4 kg, WtForLength 6.1 %, HeadCircumferen... |
1 | 1 | 2019-12-03 | Kareem959 | 2020-01-07 | 2020-01-07 | 0 | wellness | 410,620,009 | 136.8 | 488.5 | 0 | null | 3 | null | CLINICAL NOTES: Follow-up well child visit with medication reconciliation performed. Continued monitoring required; med review is due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 55.9 cm, PainScore 1.0 {score}, Weight 4.3 kg, WtForLength 4.2 %, HeadCircumferencePercent... |
2 | 2 | 2019-12-03 | Kareem959 | 2020-03-10 | 2020-03-10 | 0 | wellness | 410,620,009 | 136.8 | 816.8 | 0 | null | 3 | null | CLINICAL NOTES: Routine well child visit; med review remains due for updated medication and health status assessment.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 61.4 cm, PainScore 0.0 {score}, Weight 5.7 kg, WtForLength 11.2 %, HeadCircumferencePercentile 41.4 %, Head... |
3 | 3 | 2019-12-03 | Kareem959 | 2020-05-12 | 2020-05-12 | 0 | wellness | 410,620,009 | 136.8 | 816.8 | 0 | null | 3 | null | CLINICAL NOTES: Standard well child visit completed with no specific procedures or medication changes reported.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 65.4 cm, PainScore 2.0 {score}, Weight 6.8 kg, WtForLength 17.8 %, HeadCircumferencePercentile 41.4 %, HeadCircum... |
4 | 4 | 2019-12-03 | Kareem959 | 2020-08-11 | 2020-08-11 | 0 | wellness | 410,620,009 | 136.8 | 1,340.17 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit with medication reconciliation; patient remains stable without active conditions.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 70.2 cm, PainScore 4.0 {score}, Weight 8.2 kg, WtForLength 29.4 %, HeadCircumferencePercentile 41.4 %, HeadCir... |
5 | 5 | 2019-12-03 | Kareem959 | 2020-11-10 | 2020-11-10 | 0 | wellness | 410,620,009 | 136.8 | 805.97 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit focusing on medication reconciliation; med review is indicated to ensure up-to-date management.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 74.1 cm, PainScore 0.0 {score}, Weight 9.2 kg, WtForLength 33.4 %, HeadCircumferencePercentile 4... |
6 | 6 | 2019-12-03 | Kareem959 | 2021-02-09 | 2021-02-09 | 0 | wellness | 410,620,009 | 136.8 | 816.8 | 0 | null | 3 | null | CLINICAL NOTES: Routine well child visit, with med review still pending to evaluate any ongoing medication needs.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 77.5 cm, PainScore 0.0 {score}, Weight 9.9 kg, WtForLength 24.2 %, HeadCircumferencePercentile 41.4 %, HeadCirc... |
7 | 7 | 2019-12-03 | Kareem959 | 2021-05-11 | 2021-05-11 | 0 | wellness | 410,620,009 | 136.8 | 488.5 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit including medication reconciliation, no new issues identified.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 80.6 cm, PainScore 3.0 {score}, Weight 10.5 kg, WtForLength 22.2 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 47.4 cm... |
8 | 8 | 2019-12-03 | Kareem959 | 2021-11-09 | 2021-11-09 | 0 | wellness | 410,620,009 | 136.8 | 272.8 | 0 | null | 3 | null | CLINICAL NOTES: Regular well child examination completed; medication review remains due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 85.9 cm, PainScore 2.0 {score}, Weight 11.4 kg, WtForLength 16.7 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 48.3 cm, DBP 7... |
9 | 9 | 2019-12-03 | Kareem959 | 2022-05-10 | 2022-05-10 | 0 | wellness | 410,620,009 | 136.8 | 704.2 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit with a dental referral issued for further oral health evaluation.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 89.6 cm, PainScore 0.0 {score}, Weight 12.3 kg, WtForLength 18.1 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 48.9... |
10 | 10 | 2019-12-03 | Kareem959 | 2022-05-17 | 2022-05-17 | 0 | ambulatory | 185,349,003 | 85.55 | 3,105.35 | 0 | 103,697,008 | 3 | null | CLINICAL NOTES: Comprehensive dental checkup performed including scaling, bitewing x-rays, gingival examination, and oral health education.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROC... |
11 | 11 | 2019-12-03 | Kareem959 | 2022-11-08 | 2022-11-08 | 0 | wellness | 410,620,009 | 136.8 | 704.2 | 0 | null | 3 | null | CLINICAL NOTES: Well child visit with additional dental referral to monitor oral health progress.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 93.6 cm, PainScore 4.0 {score}, Weight 13.1 kg, WtForLength 15.9 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 49.3 ... |
12 | 12 | 2019-12-03 | Kareem959 | 2022-11-15 | 2022-11-15 | 0 | ambulatory | 185,349,003 | 85.55 | 3,536.75 | 1,251.86 | 103,697,008 | 3 | NaF 2.72% oral gel | CLINICAL NOTES: Dental checkup performed with scaling, bitewing x-rays, fluoride treatment (NaF 2.72% oral gel), gingival exam, and oral health education.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
D... |
13 | 13 | 2019-12-03 | Kareem959 | 2023-05-09 | 2023-05-09 | 0 | wellness | 410,620,009 | 136.8 | 136.8 | 0 | null | 3 | null | CLINICAL NOTES: Routine well child visit without notable procedures or changes.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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... |
14 | 14 | 2019-12-03 | Kareem959 | 2023-11-07 | 2023-11-07 | 0 | wellness | 410,620,009 | 136.8 | 272.8 | 0 | null | 3 | null | CLINICAL NOTES: Another routine well child visit indicating stable health and no new issues.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 100.8 cm, PainScore 1.0 {score}, Weight 14.8 kg, WtForLength 21.5 %, HeadCircumferencePercentile 41.4 %, HeadCircumference 49.3 cm, ... |
15 | 15 | 2019-12-03 | Kareem959 | 2024-01-17 | 2024-01-18 | 0 | ambulatory | 185,345,009 | 85.55 | 85.55 | 0 | 444,814,009 | 4 | null | CLINICAL NOTES: Encounter at age 4 for symptom evaluation; diagnosed with viral sinusitis. Symptomatic treatment advised.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Viral sinusitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Viral sinusitis
DESCRIPTION_PROCEDURES: |
16 | 16 | 2019-12-03 | Kareem959 | 2024-11-12 | 2024-11-12 | 0 | wellness | 410,620,009 | 136.8 | 1,248.2 | 0 | null | 4 | null | CLINICAL NOTES: Well child visit with dental referral to maintain oral health follow-up.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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, ... |
17 | 17 | 2019-12-03 | Kareem959 | 2024-11-19 | 2024-11-19 | 0 | ambulatory | 185,349,003 | 85.55 | 2,673.95 | 0 | 103,697,008 | 4 | null | CLINICAL NOTES: Dental checkup with cleaning, gingival exam, and oral health education performed at age 4.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental ca... |
18 | 18 | 2006-05-26 | Dante562 | 2014-05-23 | 2014-05-23 | 1 | wellness | 410,620,009 | 136.8 | 704.2 | 0 | null | 7 | null | CLINICAL NOTES: Well child visit conducted at age 7. No procedures or medications recorded. Med review due to ensure current medications are up to date.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Med review due
DESCRIPTION_PROCEDURES: |
19 | 19 | 2006-05-26 | Dante562 | 2015-05-29 | 2015-05-29 | 1 | wellness | 410,620,009 | 136.8 | 953.11 | 0 | null | 9 | null | CLINICAL NOTES: At age 9, well child visit included medication reconciliation and a dental referral due to gingivitis diagnosis. No medications prescribed.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 130.3 cm, PainScore 1.0 {score}, Weight 34.7 kg, BMI 20.4 kg/m2, BMIP... |
20 | 20 | 2006-05-26 | Dante562 | 2015-06-05 | 2015-06-06 | 1 | ambulatory | 185,349,003 | 85.55 | 3,105.35 | 0 | 66,383,009 | 9 | NaF 2.72% oral gel | CLINICAL NOTES: 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.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OB... |
21 | 21 | 2006-05-26 | Dante562 | 2016-06-03 | 2016-06-03 | 1 | wellness | 410,620,009 | 136.8 | 1,152.67 | 0 | null | 10 | null | CLINICAL NOTES: Routine well child visit at age 10 with medication reconciliation and dental referral. Med review advised.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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]... |
22 | 22 | 2006-05-26 | Dante562 | 2016-06-10 | 2016-06-11 | 1 | ambulatory | 185,349,003 | 85.55 | 3,105.35 | 0 | 103,697,008 | 10 | NaF 2.72% oral gel | CLINICAL NOTES: 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.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATION... |
23 | 23 | 2006-05-26 | Dante562 | 2017-06-09 | 2017-06-09 | 1 | wellness | 410,620,009 | 136.8 | 755.38 | 0 | null | 11 | null | CLINICAL NOTES: Well child visit at age 11. No procedures or medications documented. Medication review due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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[... |
24 | 24 | 2006-05-26 | Dante562 | 2017-07-17 | 2017-07-17 | 1 | emergency | 50,849,002 | 146.18 | 577.58 | 0 | 125,601,008 | 11 | APAP 160mg chew tab | CLINICAL NOTES: 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.
DESCRIPTION: Emergency room admission (procedure)
REASONDESCRIPTION: Injury of knee (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIP... |
25 | 25 | 2006-05-26 | Dante562 | 2017-07-24 | 2017-07-26 | 1 | inpatient | 183,495,009 | 146.18 | 18,246.94 | 8,119.06 | 30,832,001 | 11 | null | CLINICAL NOTES: Orthopedic admission for knee manipulation and postoperative care at age 11 following tendon injury.
DESCRIPTION: Non-urgent orthopedic admission (procedure)
REASONDESCRIPTION: Rupture of patellar tendon (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Knee manip, P... |
26 | 26 | 2006-05-26 | Dante562 | 2017-07-26 | 2017-08-14 | 1 | snf | 32,485,007 | 110.92 | 14,778.52 | 14,778.52 | 25,675,004 | 11 | null | CLINICAL NOTES: 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.
DESCRIPTION: Hospital admission (procedure)
REASONDESCRIPTION: Pat... |
27 | 27 | 2006-05-26 | Dante562 | 2018-06-15 | 2018-06-15 | 1 | wellness | 410,620,009 | 136.8 | 1,407.2 | 0 | null | 12 | null | CLINICAL NOTES: Well child visit at age 12 included medication reconciliation, mental health screenings (anxiety, depression, substance use), anticipatory guidance, and dental referral for gingivitis.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 145.2 cm, PainScore 2.0 ... |
28 | 28 | 2006-05-26 | Dante562 | 2018-06-29 | 2018-06-30 | 1 | ambulatory | 185,349,003 | 85.55 | 3,536.75 | 0 | 66,383,009 | 12 | null | CLINICAL NOTES: 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.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCR... |
29 | 29 | 2006-05-26 | Dante562 | 2019-06-21 | 2019-06-21 | 1 | wellness | 410,620,009 | 136.8 | 840.2 | 0 | null | 13 | null | CLINICAL NOTES: At age 13, well child visit focused on mental health screenings and health risk education. Medications reviewed and counseling regarding risk behaviors provided.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 152.1 cm, PainScore 0.0 {score}, Weight 57.0 kg... |
30 | 30 | 2006-05-26 | Dante562 | 2020-06-26 | 2020-06-26 | 1 | wellness | 410,620,009 | 136.8 | 1,240.24 | 0 | null | 14 | null | CLINICAL NOTES: Routine adolescent visit at age 14 with medication reconciliation, depression screening, substance use assessment, and anticipatory guidance.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 160.2 cm, PainScore 0.0 {score}, Weight 63.1 kg, BMI 24.6 kg/m2, BM... |
31 | 31 | 2006-05-26 | Dante562 | 2021-06-04 | 2021-06-04 | 1 | outpatient | 33,879,002 | 142.58 | 278.58 | 0 | null | 15 | null | CLINICAL NOTES: Vaccination administered at age 15 to produce active immunity. No additional details provided.
DESCRIPTION: Administration of vaccine to produce active immunity (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
32 | 32 | 2006-05-26 | Dante562 | 2021-06-25 | 2021-06-25 | 1 | outpatient | 33,879,002 | 142.58 | 278.58 | 0 | null | 15 | null | CLINICAL NOTES: Second vaccination administered at age 15.
DESCRIPTION: Administration of vaccine to produce active immunity (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
33 | 33 | 2006-05-26 | Dante562 | 2021-07-02 | 2021-07-02 | 1 | wellness | 410,620,009 | 136.8 | 966.31 | 0 | null | 15 | null | CLINICAL NOTES: Well child visit at 15 included medication reconciliation, mental health screening, substance use assessment, anticipatory guidance, and med review due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 166.1 cm, PainScore 3.0 {score}, Weight 70.5 kg, BMI 25.... |
34 | 34 | 2006-05-26 | Dante562 | 2022-07-08 | 2022-07-08 | 1 | wellness | 410,620,009 | 136.8 | 1,217.19 | 0 | null | 16 | null | CLINICAL NOTES: At age 16, well child visit with med reconciliation, mental health and substance use assessments, anticipatory guidance, dental referral, and med review due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 169.6 cm, PainScore 3.0 {score}, Weight 76.5 kg, BM... |
35 | 35 | 2006-05-26 | Dante562 | 2022-07-22 | 2022-07-23 | 1 | ambulatory | 185,349,003 | 85.55 | 2,673.95 | 0 | 103,697,008 | 16 | null | CLINICAL NOTES: Dental check-up at age 16 with consult, scaling, gingival exam, and oral health education.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental ca... |
36 | 36 | 2006-05-26 | Dante562 | 2023-07-14 | 2023-07-14 | 1 | wellness | 410,620,009 | 136.8 | 1,567 | 0 | null | 17 | null | CLINICAL NOTES: At age 17, well child visit included medication reconciliation and mental health screening. Med review due.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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... |
37 | 37 | 2006-05-26 | Dante562 | 2024-06-30 | 2024-06-30 | 1 | outpatient | 185,347,001 | 85.55 | 85.55 | 0 | 82,423,001 | 18 | APAP 300mg/Hydrocodone 5mg tab | CLINICAL NOTES: Encounter for chronic pain and chronic low back pain at age 18. Pain managed with acetaminophen 300mg/hydrocodone 5mg tablets.
DESCRIPTION: Encounter for problem (procedure)
REASONDESCRIPTION: Chronic pain (finding)
DESCRIPTION_OBSERVATIONS: DrugScreen Negative (qualifier value) nan
DESCRIPTION_CONDITIO... |
38 | 38 | 2006-05-26 | Dante562 | 2024-07-19 | 2024-07-19 | 1 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 18 | APAP 300mg/Hydrocodone 5mg tab | CLINICAL NOTES: 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 trans... |
39 | 39 | 2006-05-26 | Dante562 | 2024-08-02 | 2024-08-03 | 1 | ambulatory | 185,349,003 | 85.55 | 4,399.55 | 0 | 66,383,009 | 18 | null | CLINICAL NOTES: 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.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OBSERVATIONS... |
40 | 40 | 2006-05-26 | Dante562 | 2024-08-28 | 2024-08-28 | 1 | ambulatory | 390,906,007 | 85.55 | 85.55 | 0 | 82,423,001 | 18 | 12hr Hydrocodone 10mg ER cap | CLINICAL NOTES: Follow-up encounter at 18 for pain management, patient prescribed 12-hour extended-release hydrocodone 10mg capsules.
DESCRIPTION: Follow-up encounter (procedure)
REASONDESCRIPTION: Chronic pain (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
41 | 41 | 1989-02-12 | Mitchel812 | 2007-04-09 | 2007-04-09 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 18 | null | CLINICAL NOTES: General exam conducted for 18-year-old patient. No procedures, medications, or conditions recorded. Patient currently in high school education.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: HS education
DESCRIPTION_PROCEDUR... |
42 | 42 | 1989-02-12 | Mitchel812 | 2011-04-18 | 2011-04-18 | 2 | wellness | 162,673,000 | 136.8 | 1,547.58 | 0 | null | 22 | null | CLINICAL NOTES: At age 22, general examination reveals patient experiencing stress. No specific procedures or medications given.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Stress
DESCRIPTION_PROCEDURES: |
43 | 43 | 1989-02-12 | Mitchel812 | 2014-02-05 | 2014-02-05 | 2 | outpatient | 185,347,001 | 85.55 | 85.55 | 0 | 82,423,001 | 24 | null | CLINICAL NOTES: Patient presents with chronic pain, specifically chronic low back pain (LBP). No medications or procedures documented during this encounter.
DESCRIPTION: Encounter for problem (procedure)
REASONDESCRIPTION: Chronic pain (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Chronic pain, Chronic L... |
44 | 44 | 1989-02-12 | Mitchel812 | 2014-02-17 | 2014-02-17 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 25 | null | CLINICAL NOTES: Routine general exam at age 25 with recommendation for medication review due to ongoing care needs.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Med review due
DESCRIPTION_PROCEDURES: |
45 | 45 | 1989-02-12 | Mitchel812 | 2014-03-31 | 2014-03-31 | 2 | ambulatory | 390,906,007 | 85.55 | 85.55 | 0 | 82,423,001 | 25 | APAP 300mg/Hydrocodone 5mg tab | CLINICAL NOTES: Follow-up visit at age 25 with prescription for APAP 300mg/Hydrocodone 5mg tablets for pain management.
DESCRIPTION: Follow-up encounter (procedure)
REASONDESCRIPTION: Chronic pain (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
46 | 46 | 1989-02-12 | Mitchel812 | 2015-02-23 | 2015-02-23 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 26 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: General exam reveals part-time employment status with history of intimate partner violence (IPV) and drug misuse. Pain managed with Tylenol and Ibuprofen.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Part-time employed, IP... |
47 | 47 | 1989-02-12 | Mitchel812 | 2016-02-29 | 2016-02-29 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 27 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: 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.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS... |
48 | 48 | 1989-02-12 | Mitchel812 | 2016-03-14 | 2016-03-14 | 2 | ambulatory | 185,349,003 | 85.55 | 2,673.95 | 0 | 66,383,009 | 27 | null | CLINICAL NOTES: Dental check-up included consult, scaling above and below gums, gingival exam, and oral health education.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental care, Supr... |
49 | 49 | 1989-02-12 | Mitchel812 | 2017-03-06 | 2017-03-06 | 2 | wellness | 162,673,000 | 136.8 | 778.78 | 0 | null | 28 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Assessment addressing health, anxiety, and depression status. Patient not in workforce and experiencing stress. Medication continued for pain.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 2.0 {score}, Weight 86.6 kg, BMI... |
50 | 50 | 1989-02-12 | Mitchel812 | 2018-03-12 | 2018-03-12 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 29 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Comprehensive screening including domestic abuse and substance use. Patient maintained on Tylenol and Ibuprofen.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 2.0 {score}, Weight 88.5 kg, BMI 24.9 kg/m2, DBP 86.0 mm[Hg], ... |
51 | 51 | 1989-02-12 | Mitchel812 | 2018-10-12 | 2018-10-12 | 2 | ambulatory | 185,345,009 | 85.55 | 85.55 | 0 | 444,814,009 | 29 | null | CLINICAL NOTES: Presenting symptom includes viral sinusitis with no specific procedures or medications documented.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Viral sinusitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Viral sinusitis
DESCRIPTION_PROCEDURES: |
52 | 52 | 1989-02-12 | Mitchel812 | 2019-03-18 | 2019-03-18 | 2 | wellness | 162,673,000 | 136.8 | 994.48 | 0 | null | 30 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Medication reconciliation and screening performed. Patient full-time employed with ongoing gingivitis; continues pain medication.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 1.0 {score}, Weight 89.7 kg, BMI 25.3 kg/m2, ... |
53 | 53 | 1989-02-12 | Mitchel812 | 2019-04-01 | 2019-04-01 | 2 | ambulatory | 185,349,003 | 85.55 | 4,830.95 | 0 | 66,383,009 | 30 | null | CLINICAL NOTES: Extensive dental procedures conducted including surgery and gingivectomy for treatment of gum disease.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Gum disease
DESCRIPTION_PROCEDURES: Dental consult, Dental ca... |
54 | 54 | 1989-02-12 | Mitchel812 | 2020-03-23 | 2020-03-23 | 2 | wellness | 162,673,000 | 136.8 | 840.2 | 0 | null | 31 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Patient assessed for health and substance use, dental referral issued. Medication review recommended.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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 m... |
55 | 55 | 1989-02-12 | Mitchel812 | 2020-04-06 | 2020-04-06 | 2 | ambulatory | 185,349,003 | 85.55 | 3,105.35 | 0 | 103,697,008 | 31 | null | CLINICAL NOTES: Routine dental maintenance with examinations and scaling.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental care, Supragingival scaling, Subgin... |
56 | 56 | 1989-02-12 | Mitchel812 | 2020-11-20 | 2020-11-20 | 2 | ambulatory | 185,345,009 | 85.55 | 85.55 | 0 | 36,971,009 | 31 | null | CLINICAL NOTES: Patient presents with sinusitis symptoms with no procedures or medications documented during this visit.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Sinusitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Sinusitis
DESCRIPTION_PROCEDURES: |
57 | 57 | 1989-02-12 | Mitchel812 | 2021-03-29 | 2021-03-29 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 32 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: General exam includes health and substance use assessments. Medication continued.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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,... |
58 | 58 | 1989-02-12 | Mitchel812 | 2021-08-09 | 2021-08-09 | 2 | urgentcare | 702,927,004 | 142.58 | 573.98 | 0 | null | 32 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Urgent care visit with multiple health and dental screenings performed. Patient experiencing stress and gingivitis.
DESCRIPTION: Urgent care clinic (environment)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 4.0 {score}, Weight 93.2 kg, BMI 26.2 kg/m2, DBP 85.0 mm[Hg], SBP 128... |
59 | 59 | 1989-02-12 | Mitchel812 | 2021-08-16 | 2021-08-16 | 2 | outpatient | 185,349,003 | 85.55 | 437.25 | 0 | null | 32 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Medication reconciliation completed during routine check-up. Patient continues on pain medications.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Med rec |
60 | 60 | 1989-02-12 | Mitchel812 | 2021-08-23 | 2021-08-23 | 2 | ambulatory | 185,345,009 | 85.55 | 10,606.55 | 4,232.09 | 10,509,002 | 32 | APAP 325mg tab | CLINICAL NOTES: Symptomatic encounter for acute bronchitis; sputum exam conducted. Patient on Tylenol.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Acute bronchitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Acute bronchitis
DESCRIPTION_PROCEDURES: Sputum exam |
61 | 61 | 1989-02-12 | Mitchel812 | 2021-08-30 | 2021-08-30 | 2 | ambulatory | 185,349,003 | 85.55 | 3,536.75 | 3,536.75 | 66,383,009 | 32 | NaF 2.72% oral gel | CLINICAL NOTES: Dental check including fluoride application completed.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Gingivitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bite... |
62 | 62 | 1989-02-12 | Mitchel812 | 2022-04-04 | 2022-04-04 | 2 | wellness | 162,673,000 | 136.8 | 717.36 | 0 | null | 33 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Health and substance assessments performed with medication review due.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: 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 /m... |
63 | 63 | 1989-02-12 | Mitchel812 | 2022-10-21 | 2022-10-21 | 2 | emergency | 50,849,002 | 146.18 | 146.18 | 0 | 48,333,001 | 33 | Naproxen Na 220mg tab | CLINICAL NOTES: ER admission for skin burn treated with Naproxen.
DESCRIPTION: Emergency room admission (procedure)
REASONDESCRIPTION: Burn injury (morphologic abnormality)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Burn, Skin burn
DESCRIPTION_PROCEDURES: |
64 | 64 | 1989-02-12 | Mitchel812 | 2022-10-21 | 2022-11-18 | 2 | snf | 32,485,007 | 110.92 | 20,099.08 | 9,132.14 | 25,675,004 | 33 | null | CLINICAL NOTES: Hospitalized for burn management requiring extensive multidisciplinary care including nursing, PT, OT, and speech therapy.
DESCRIPTION: Hospital admission (procedure)
REASONDESCRIPTION: Patient transfer to skilled nursing facility (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTI... |
65 | 65 | 1989-02-12 | Mitchel812 | 2022-12-11 | 2022-12-11 | 2 | ambulatory | 185,349,003 | 85.55 | 85.55 | 85.55 | 403,190,006 | 33 | null | CLINICAL NOTES: Routine check-up post hospital discharge. No medications or procedures noted.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Epidermal burn of skin (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
66 | 66 | 1989-02-12 | Mitchel812 | 2023-04-10 | 2023-04-10 | 2 | wellness | 162,673,000 | 136.8 | 704.2 | 0 | null | 34 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Comprehensive mental health and substance use assessments conducted; patient currently not in workforce.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 3.0 {score}, Weight 96.7 kg, BMI 27.2 kg/m2, DBP 84.0 mm[Hg], SBP 137.... |
67 | 67 | 1989-02-12 | Mitchel812 | 2023-04-24 | 2023-04-24 | 2 | ambulatory | 185,349,003 | 85.55 | 3,536.75 | 0 | 103,697,008 | 34 | NaF 2.72% oral gel | CLINICAL NOTES: Dental maintenance visit with fluoride treatment.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION: Patient referral for dental care (procedure)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Dental consult, Dental care, Supragingival scaling, Subgingival sc... |
68 | 68 | 1989-02-12 | Mitchel812 | 2023-07-30 | 2023-07-30 | 2 | ambulatory | 185,345,009 | 85.55 | 4,785.18 | 2,103.24 | 10,509,002 | 34 | APAP 21.7mg/DM 1mg/Doxylamine 0.417mg per ml soln | CLINICAL NOTES: Presented with acute bronchitis; sputum exam performed. Medication includes APAP combination solution.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Acute bronchitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Acute bronchitis
DESCRIPTION_PROCEDURES: Sputum exam |
69 | 69 | 1989-02-12 | Mitchel812 | 2023-08-07 | 2023-08-07 | 2 | urgentcare | 702,927,004 | 142.58 | 789.68 | 473.81 | null | 34 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Urgent care visit including medication reconciliation and health/social needs assessment. Patient full-time employed but experiencing stress.
DESCRIPTION: Urgent care clinic (environment)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 0.0 {score}, Weight 96.7 kg, BMI 27.2 kg/m2... |
70 | 70 | 1989-02-12 | Mitchel812 | 2023-08-14 | 2023-08-14 | 2 | outpatient | 185,349,003 | 85.55 | 437.25 | 262.35 | null | 34 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Medication reconciliation performed; medication review recommended.
DESCRIPTION: Encounter for check up (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Med review due
DESCRIPTION_PROCEDURES: Med rec |
71 | 71 | 1989-02-12 | Mitchel812 | 2024-04-15 | 2024-04-15 | 2 | wellness | 162,673,000 | 136.8 | 568.2 | 0 | null | 35 | APAP 325mg tab (Tylenol), Ibuprofen 400mg tab (Ibu) | CLINICAL NOTES: Comprehensive assessments including domestic abuse and substance use screenings performed. Medication review due.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 188.5 cm, PainScore 0.0 {score}, Weight 98.5 kg, BMI 27.7 kg/m2, DBP 85.0 mm[Hg],... |
72 | 72 | 1975-02-15 | Arie325 | 1980-01-14 | 1980-01-14 | 3 | emergency | 50,849,002 | 146.18 | 4,407.08 | 0 | 128,613,002 | 4 | null | CLINICAL NOTES: 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.
DESCRIPTION: Emergency room admission (procedure)
REASONDESCRIPTION: Seizure disorder (disorder)
DESCRIPTION_OBSERVATIONS:
DESC... |
73 | 73 | 1975-02-15 | Arie325 | 1992-04-04 | 1992-04-04 | 3 | wellness | 410,620,009 | 136.8 | 1,112.77 | 703.82 | null | 17 | null | CLINICAL NOTES: At 17 years, patient attended well-child visit addressing risk behaviors typical for adolescent assessment. No procedures or medications recorded.
DESCRIPTION: Well child visit (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Risk behaviors
DESCRIPTION_PROCEDURES: |
74 | 74 | 1975-02-15 | Arie325 | 1993-04-10 | 1993-04-10 | 3 | wellness | 162,673,000 | 136.8 | 704.2 | 376.96 | null | 18 | null | CLINICAL NOTES: During general examination at age 18, patient noted to be enrolled in higher education. No acute complaints or medications documented.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Higher ed
DESCRIPTION_PROCEDURES: |
75 | 75 | 1975-02-15 | Arie325 | 1996-08-31 | 1996-08-31 | 3 | urgentcare | 702,927,004 | 142.58 | 1,056.56 | 658.84 | null | 21 | null | CLINICAL NOTES: At 21 years, urgent care visit revealed obesity with BMI >30 and history of intimate partner violence (IPV). Counseling and intervention recommended.
DESCRIPTION: Urgent care clinic (environment)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Obesity BMI>30, IPV
DESCRIPTION_PROC... |
76 | 76 | 1975-02-15 | Arie325 | 2005-04-29 | 2005-04-29 | 3 | ambulatory | 424,619,006 | 142.58 | 1,005.38 | 804.3 | 79,586,000 | 30 | null | CLINICAL NOTES: Prenatal visit at 30 years with history of miscarriage. Patient under routine prenatal care therapy. No medications or procedures recorded.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Tubal pregnancy (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: H/o miscarriage
DESCR... |
77 | 77 | 1975-02-15 | Arie325 | 2014-04-27 | 2014-04-27 | 3 | outpatient | 698,314,001 | 142.58 | 142.58 | 114.06 | 389,095,005 | 39 | Jolivette 28d pack | CLINICAL NOTES: Patient at 39 years presented for treatment consultation; currently on Jolivette 28-day oral contraceptive pack.
DESCRIPTION: Consultation for treatment (procedure)
REASONDESCRIPTION: Contraception care (regime/therapy)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
78 | 78 | 1975-02-15 | Arie325 | 2015-02-21 | 2015-02-21 | 3 | wellness | 162,673,000 | 136.8 | 914.78 | 545.42 | null | 40 | null | CLINICAL NOTES: General exam at 40 years notes medication review due, patient is part-time employed, reports stress symptoms.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Med review due, Part-time employed, Stress
DESCRIPTION_PROCEDURES:... |
79 | 79 | 1975-02-15 | Arie325 | 2015-04-22 | 2015-04-22 | 3 | outpatient | 698,314,001 | 142.58 | 142.58 | 114.06 | 389,095,005 | 40 | Jolivette 28d pack | CLINICAL NOTES: Consultation at age 40; patient continues Jolivette 28-day pack for contraception management.
DESCRIPTION: Consultation for treatment (procedure)
REASONDESCRIPTION: Contraception care (regime/therapy)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
80 | 80 | 1975-02-15 | Arie325 | 2015-09-11 | 2015-09-11 | 3 | ambulatory | 185,345,009 | 85.55 | 85.55 | 68.44 | 195,662,009 | 40 | null | CLINICAL NOTES: At 40 years, patient presented with symptoms consistent with acute viral pharyngitis; supportive care advised.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Acute viral pharyngitis (disorder)
DESCRIPTION_OBSERVATIONS: BodyTemp 37.2 Cel
DESCRIPTION_CONDITIONS: Acute viral pharyngitis... |
81 | 81 | 1975-02-15 | Arie325 | 2016-02-06 | 2016-02-06 | 3 | ambulatory | 424,441,002 | 142.58 | 42,253.81 | 33,803.06 | 72,892,002 | 40 | null | CLINICAL NOTES: Initial prenatal visit at age 40 included comprehensive labs and fetal assessments confirming normal pregnancy status.
DESCRIPTION: Prenatal initial visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Normal preg
DESCRIPTION_PROCEDURES... |
82 | 82 | 1975-02-15 | Arie325 | 2016-03-05 | 2016-03-05 | 3 | ambulatory | 424,619,006 | 142.58 | 6,280.86 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Prenatal follow-up at 41 years including fetal heart auscultation, fundal height evaluation, and amniocentesis with FISH for aneuploidy screening.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_P... |
83 | 83 | 1975-02-15 | Arie325 | 2016-04-02 | 2016-04-02 | 3 | ambulatory | 424,619,006 | 142.58 | 15,375.16 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Continued prenatal monitoring at age 41 with fetal anatomy scan and antenatal AFP testing, fetal heart auscultation normal.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Fetal anatom... |
84 | 84 | 1975-02-15 | Arie325 | 2016-04-12 | 2016-04-12 | 3 | ambulatory | 185,345,009 | 85.55 | 85.55 | 0 | 444,814,009 | 41 | null | CLINICAL NOTES: Encounter at 41 years for symptoms of viral sinusitis managed conservatively.
DESCRIPTION: Encounter for symptom (procedure)
REASONDESCRIPTION: Viral sinusitis (disorder)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Viral sinusitis
DESCRIPTION_PROCEDURES: |
85 | 85 | 1975-02-15 | Arie325 | 2016-04-30 | 2016-04-30 | 3 | ambulatory | 424,619,006 | 142.58 | 9,870.76 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Routine prenatal visit at 41 with fundal height evaluation and fetal heart auscultation within normal limits.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Fundal height eval, Fetal ... |
86 | 86 | 1975-02-15 | Arie325 | 2016-05-28 | 2016-05-28 | 3 | ambulatory | 424,619,006 | 142.58 | 4,886.03 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Additional prenatal care at 41 years showing stable fetal development based on fundal height and heart auscultation.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Fundal height eval,... |
87 | 87 | 1975-02-15 | Arie325 | 2016-06-25 | 2016-06-25 | 3 | ambulatory | 424,619,006 | 142.58 | 9,745.6 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Prenatal visit at 41 years included blood work, DTaP vaccination, urine glucose screening and fetal vital checks.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Complete hemogram w/di... |
88 | 88 | 1975-02-15 | Arie325 | 2016-07-23 | 2016-07-23 | 3 | ambulatory | 424,619,006 | 142.58 | 8,683.9 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Continued prenatal assessments demonstrating normal fetal growth and heart rate at age 41.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Fundal height eval, Fetal heart auscult |
89 | 89 | 1975-02-15 | Arie325 | 2016-08-20 | 2016-08-20 | 3 | ambulatory | 424,619,006 | 142.58 | 6,540.75 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Screening for Group B Streptococcus antigen performed along with routine fetal assessments at 41 years.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: GBS Ag, Fundal height eval, Feta... |
90 | 90 | 1975-02-15 | Arie325 | 2016-09-03 | 2016-09-03 | 3 | emergency | 183,460,006 | 146.18 | 4,782.48 | 0 | 72,892,002 | 41 | null | CLINICAL NOTES: Emergency obstetric admission resulted in epidural analgesia and Cesarean section delivery at age 41.
DESCRIPTION: Obstetric emergency hospital admission (procedure)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: Epidural, C-sec... |
91 | 91 | 1975-02-15 | Arie325 | 2016-10-15 | 2016-10-15 | 3 | ambulatory | 169,762,003 | 142.58 | 1,005.38 | 0 | null | 41 | null | CLINICAL NOTES: Postnatal visit including physical examination and depression screening; patient monitored for postpartum depression.
DESCRIPTION: Postnatal visit (regime/therapy)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: PE, Depression screen |
92 | 92 | 1975-02-15 | Arie325 | 2017-02-25 | 2017-02-25 | 3 | wellness | 162,673,000 | 136.8 | 1,050.78 | 1,050.78 | null | 42 | null | CLINICAL NOTES: Comprehensive evaluation at 42 years revealed limited social contact and unhealthy alcohol consumption screened with AUDIT-C.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 33.7 kg/m2, DBP... |
93 | 93 | 1975-02-15 | Arie325 | 2018-02-10 | 2018-02-10 | 3 | ambulatory | 424,441,002 | 142.58 | 16,213.22 | 16,178.22 | 72,892,002 | 42 | null | CLINICAL NOTES: At 42 years, patient had initial prenatal visit confirming normal pregnancy via pregnancy test and fetal viability ultrasound.
DESCRIPTION: Prenatal initial visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS: Normal preg
DESCRIPTION_PR... |
94 | 94 | 1975-02-15 | Arie325 | 2018-02-26 | 2018-02-26 | 3 | ambulatory | 270,427,003 | 85.55 | 4,444.98 | 3,369.58 | 72,892,002 | 43 | null | CLINICAL NOTES: Patient-initiated visit at 43 years included counseling and management for termination of pregnancy (TOP).
DESCRIPTION: Patient-initiated encounter (procedure)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: TOP counseling, TOP |
95 | 95 | 1975-02-15 | Arie325 | 2018-03-07 | 2018-03-07 | 3 | ambulatory | 424,619,006 | 142.58 | 1,443.68 | 1,154.94 | 72,892,002 | 43 | null | CLINICAL NOTES: Prenatal visit at 43 years involved follow-up TOP care, physical exam and depression screening.
DESCRIPTION: Prenatal visit (regime/therapy)
REASONDESCRIPTION: Normal pregnancy (finding)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: TOP care, PE, Depression screen |
96 | 96 | 1975-02-15 | Arie325 | 2018-10-12 | 2018-10-12 | 3 | outpatient | 698,314,001 | 142.58 | 8,872.88 | 7,098.3 | 389,095,005 | 43 | Etonogestrel 68mg implant | CLINICAL NOTES: At 43 years, consultation led to insertion of subcutaneous contraceptive implant (Etonogestrel 68mg) for long-term contraception.
DESCRIPTION: Consultation for treatment (procedure)
REASONDESCRIPTION: Contraception care (regime/therapy)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PR... |
97 | 97 | 1975-02-15 | Arie325 | 2019-03-02 | 2019-03-02 | 3 | wellness | 162,673,000 | 136.8 | 1,296.91 | 851.13 | null | 44 | null | CLINICAL NOTES: General exam and screening at 44 years found patient employed full-time but socially isolated; multiple psychosocial assessments completed.
DESCRIPTION: General examination of patient (procedure)
REASONDESCRIPTION:
DESCRIPTION_OBSERVATIONS: Height 160.8 cm, PainScore 2.0 {score}, Weight 87.1 kg, BMI 3... |
98 | 98 | 1975-02-15 | Arie325 | 2019-10-07 | 2019-10-07 | 3 | outpatient | 698,314,001 | 142.58 | 142.58 | 114.06 | 389,095,005 | 44 | null | CLINICAL NOTES: Treatment consultation with no documented procedures or medications at 44 years.
DESCRIPTION: Consultation for treatment (procedure)
REASONDESCRIPTION: Contraception care (regime/therapy)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: |
99 | 99 | 1975-02-15 | Arie325 | 2019-10-09 | 2019-10-09 | 3 | outpatient | 308,335,008 | 142.58 | 4,052.91 | 3,242.32 | 389,095,005 | 44 | null | CLINICAL NOTES: Intrauterine device insertion performed at 44 years as contraceptive measure.
DESCRIPTION: Patient encounter procedure (procedure)
REASONDESCRIPTION: Contraception care (regime/therapy)
DESCRIPTION_OBSERVATIONS:
DESCRIPTION_CONDITIONS:
DESCRIPTION_PROCEDURES: IUD insertion |
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