DESCRIPTION stringclasses 32
values | BASE_ENCOUNTER_COST float64 75 146 | TOTAL_CLAIM_COST float64 75 106k | PAYER_COVERAGE float64 0 85k | REASONDESCRIPTION nullclasses 66
values | PATIENT_AGE int64 3 89 | DESCRIPTION_OBSERVATIONS stringlengths 11 10.8k ⌀ | DESCRIPTION_CONDITIONS stringclasses 254
values | DESCRIPTION_MEDICATIONS nullclasses 86
values | DESCRIPTION_PROCEDURES stringclasses 297
values | ENCOUNTER_LENGTH int64 0 30 | CLINICAL_NOTES_LEMMATIZED stringlengths 20 326 |
|---|---|---|---|---|---|---|---|---|---|---|---|
Well child visit (procedure) | 136.8 | 1,044.65 | 0 | 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 | 0 | well child visit at age 3 include medication reconciliation. med review due to assess current medications and overall health. |
Well child visit (procedure) | 136.8 | 488.5 | 0 | 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 | 0 | follow-up well child visit with medication reconciliation performed. continue monitor required; med review be due. |
Well child visit (procedure) | 136.8 | 816.8 | 0 | 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 | 0 | routine well child visit; med review remain due for update medication and health status assessment. |
Well child visit (procedure) | 136.8 | 816.8 | 0 | 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 | 0 | standard well child visit complete with no specific procedures or medication change reported. |
Well child visit (procedure) | 136.8 | 1,340.17 | 0 | 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 | 0 | well child visit with medication reconciliation; patient remain stable without active conditions. |
Well child visit (procedure) | 136.8 | 805.97 | 0 | 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 | 0 | well child visit focus on medication reconciliation; med review be indicate to ensure up-to-date management. |
Well child visit (procedure) | 136.8 | 816.8 | 0 | 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 | 0 | routine well child visit, with med review still pending to evaluate any ongoing medication needs. |
Well child visit (procedure) | 136.8 | 488.5 | 0 | 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 | 0 | well child visit include medication reconciliation, no new issue identified. |
Well child visit (procedure) | 136.8 | 272.8 | 0 | 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 | 0 | regular well child examination completed; medication review remain due. |
Well child visit (procedure) | 136.8 | 704.2 | 0 | 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 | 0 | well child visit with a dental referral issue for further oral health evaluation. |
Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | null | 3 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | 0 | comprehensive dental checkup perform include scaling, bitewing x-rays, gingival examination, and oral health education. |
Well child visit (procedure) | 136.8 | 704.2 | 0 | 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 | 0 | well child visit with additional dental referral to monitor oral health progress. |
Encounter for check up (procedure) | 85.55 | 3,536.75 | 1,251.86 | null | 3 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | 0 | dental checkup perform with scaling, bitewing x-rays, fluoride treatment (naf 2.72% oral gel), gingival exam, and oral health education. |
Well child visit (procedure) | 136.8 | 136.8 | 0 | 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 | 0 | routine well child visit without notable procedures or changes. |
Well child visit (procedure) | 136.8 | 272.8 | 0 | 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 | 0 | another routine well child visit indicate stable health and no new issues. |
Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | null | 4 | null | Viral sinusitis | null | null | 1 | encounter at age 4 for symptom evaluation; diagnose with viral sinusitis. symptomatic treatment advised. |
Well child visit (procedure) | 136.8 | 1,248.2 | 0 | 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 | 0 | well child visit with dental referral to maintain oral health follow-up. |
Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | null | 4 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | 0 | dental checkup with cleaning, gingival exam, and oral health education perform at age 4. |
Well child visit (procedure) | 136.8 | 704.2 | 0 | null | 7 | null | Med review due | null | null | 0 | well child visit conduct at age 7. no procedures or medications recorded. med review due to ensure current medications be up to date. |
Well child visit (procedure) | 136.8 | 953.11 | 0 | 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 | 0 | at age 9, well child visit include medication reconciliation and a dental referral due to gingivitis diagnosis. no medications prescribed. |
Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | null | 9 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | 1 | dental check-up and treatment perform at age 9. procedures include dental consult, scaling, gingival exam, fluoride application and oral health education. sodium fluoride 2.72% oral gel prescribed. |
Well child visit (procedure) | 136.8 | 1,152.67 | 0 | 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 | 0 | routine well child visit at age 10 with medication reconciliation and dental referral. med review advised. |
Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | null | 10 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Dental fluoride, Oral health ed | 1 | at age 10, patient receive dental care include consult, scaling, gingival exam, fluoride application, and oral health education. sodium fluoride 2.72% oral gel used. |
Well child visit (procedure) | 136.8 | 755.38 | 0 | 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 | 0 | well child visit at age 11. no procedures or medications documented. medication review due. |
Emergency room admission (procedure) | 146.18 | 577.58 | 0 | null | 11 | null | Knee injury, Patellar tendon rupture | null | Knee XR | 0 | emergency admission at age 11 for knee injury diagnose as patellar tendon rupture. knee x-ray performed. acetaminophen 160mg chewable tablets prescribe for pain management. |
Non-urgent orthopedic admission (procedure) | 146.18 | 18,246.94 | 8,119.06 | null | 11 | null | null | null | Knee manip, Postop care | 2 | orthopedic admission for knee manipulation and postoperative care at age 11 follow tendon injury. |
Hospital admission (procedure) | 110.92 | 14,778.52 | 14,778.52 | null | 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... | 19 | comprehensive hospital admission at age 11 include history and physical, assessments, individualize care plan, intensive nurse care, physical therapy, occupational therapy, speech therapy, ancillary services, and discharge planning. |
Well child visit (procedure) | 136.8 | 1,407.2 | 0 | 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 | 0 | well child visit at age 12 include medication reconciliation, mental health screenings (anxiety, depression, substance use), anticipatory guidance, and dental referral for gingivitis. |
Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | null | 12 | null | Dental caries | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Full cusp coverage, Oral health ed | 1 | dental check-up at age 12 note dental caries. procedures include dental consult, scaling, bitewing x-rays, gingival exam, full cusp coverage restoration, and oral health education. |
Well child visit (procedure) | 136.8 | 840.2 | 0 | 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 | 0 | at age 13, well child visit focus on mental health screenings and health risk education. medications review and counsel regard risk behaviors provided. |
Well child visit (procedure) | 136.8 | 1,240.24 | 0 | 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 | 0 | routine adolescent visit at age 14 with medication reconciliation, depression screening, substance use assessment, and anticipatory guidance. |
Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 0 | null | 15 | null | null | null | null | 0 | vaccination administer at age 15 to produce active immunity. no additional detail provided. |
Administration of vaccine to produce active immunity (procedure) | 142.58 | 278.58 | 0 | null | 15 | null | null | null | null | 0 | second vaccination administer at age 15. |
Well child visit (procedure) | 136.8 | 966.31 | 0 | 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 | 0 | well child visit at 15 include medication reconciliation, mental health screening, substance use assessment, anticipatory guidance, and med review due. |
Well child visit (procedure) | 136.8 | 1,217.19 | 0 | 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 | 0 | at age 16, well child visit with med reconciliation, mental health and substance use assessments, anticipatory guidance, dental referral, and med review due. |
Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | null | 16 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | 1 | dental check-up at age 16 with consult, scaling, gingival exam, and oral health education. |
Well child visit (procedure) | 136.8 | 1,567 | 0 | 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 | 0 | at age 17, well child visit include medication reconciliation and mental health screening. med review due. |
Encounter for problem (procedure) | 85.55 | 85.55 | 0 | null | 18 | DrugScreen Negative (qualifier value) nan | Chronic pain, Chronic LBP | null | null | 0 | encounter for chronic pain and chronic low back pain at age 18. pain manage with acetaminophen 300mg/hydrocodone 5mg tablets. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | 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 | null | Health/social needs assess, Depression screen, Depression screen, Substance use assess, AUDIT-C assess, Dental referral | 0 | comprehensive general exam at 18 include multiple depression screenings, social need assessment, substance use and audit-c screening, dental referral. patient receive apap/hydrocodone for pain. med review due. patient note to be in higher education, employ full-time, experience stress, no transportation, and have gingi... |
Encounter for check up (procedure) | 85.55 | 4,399.55 | 0 | null | 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 | 1 | at age 18, dental visit include extensive procedures such as dental surgery, gingivectomy, postop care along with scaling, exam, desensitizing, and oral health education due to gum disease. |
Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | null | 18 | null | null | null | null | 0 | follow-up encounter at 18 for pain management, patient prescribe 12-hour extended-release hydrocodone 10mg capsules. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | 18 | null | HS education | null | null | 0 | general exam conduct for 18-year-old patient. no procedures, medications, or condition recorded. patient currently in high school education. |
General examination of patient (procedure) | 136.8 | 1,547.58 | 0 | null | 22 | null | Stress | null | null | 0 | at age 22, general examination reveal patient experience stress. no specific procedures or medications given. |
Encounter for problem (procedure) | 85.55 | 85.55 | 0 | null | 24 | null | Chronic pain, Chronic LBP | null | null | 0 | patient present with chronic pain, specifically chronic low back pain (lbp). no medications or procedures document during this encounter. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | 25 | null | Med review due | null | null | 0 | routine general exam at age 25 with recommendation for medication review due to ongoing care needs. |
Follow-up encounter (procedure) | 85.55 | 85.55 | 0 | null | 25 | null | null | null | null | 0 | follow-up visit at age 25 with prescription for apap 300mg/hydrocodone 5mg tablets for pain management. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | null | 26 | null | Part-time employed, IPV, Drug misuse | null | null | 0 | general exam reveal part-time employment status with history of intimate partner violence (ipv) and drug misuse. pain manage with tylenol and ibuprofen. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | 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 | null | Health/social needs assess, Depression screen, Depression screen, Dental referral | 0 | comprehensive health assessment include mental health and dental evaluation. patient now full-time employ but show limit social contact and gingivitis; medication include tylenol and ibuprofen. |
Encounter for check up (procedure) | 85.55 | 2,673.95 | 0 | null | 27 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Gingival exam, Oral health ed | 0 | dental check-up include consult, scale above and below gums, gingival exam, and oral health education. |
General examination of patient (procedure) | 136.8 | 778.78 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Depression screen, Depression screen | 0 | assessment address health, anxiety, and depression status. patient not in workforce and experience stress. medication continue for pain. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | 0 | comprehensive screen include domestic abuse and substance use. patient maintain on tylenol and ibuprofen. |
Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | null | 29 | null | Viral sinusitis | null | null | 0 | present symptom include viral sinusitis with no specific procedures or medications documented. |
General examination of patient (procedure) | 136.8 | 994.48 | 0 | 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 | null | Med rec, Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral | 0 | medication reconciliation and screen performed. patient full-time employ with ongoing gingivitis; continue pain medication. |
Encounter for check up (procedure) | 85.55 | 4,830.95 | 0 | null | 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 | 0 | extensive dental procedures conduct include surgery and gingivectomy for treatment of gum disease. |
General examination of patient (procedure) | 136.8 | 840.2 | 0 | 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 | null | Health/social needs assess, Substance use assess, Drug abuse screen, Dental referral | 0 | patient assess for health and substance use, dental referral issued. medication review recommended. |
Encounter for check up (procedure) | 85.55 | 3,105.35 | 0 | null | 31 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Oral health ed | 0 | routine dental maintenance with examinations and scaling. |
Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | null | 31 | null | Sinusitis | null | null | 0 | patient present with sinusitis symptoms with no procedures or medications document during this visit. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Substance use assess, AUDIT-C assess | 0 | general exam include health and substance use assessments. medication continued. |
Urgent care clinic (environment) | 142.58 | 573.98 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Substance use assess, Drug abuse screen, Dental referral | 0 | urgent care visit with multiple health and dental screenings performed. patient experience stress and gingivitis. |
Encounter for check up (procedure) | 85.55 | 437.25 | 0 | null | 32 | null | null | null | Med rec | 0 | medication reconciliation complete during routine check-up. patient continue on pain medications. |
Encounter for symptom (procedure) | 85.55 | 10,606.55 | 4,232.09 | null | 32 | null | Acute bronchitis | null | Sputum exam | 0 | symptomatic encounter for acute bronchitis; sputum exam conducted. patient on tylenol. |
Encounter for check up (procedure) | 85.55 | 3,536.75 | 3,536.75 | null | 32 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | 0 | dental check include fluoride application completed. |
General examination of patient (procedure) | 136.8 | 717.36 | 0 | 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 | null | Health/social needs assess, Substance use assess, Drug abuse screen | 0 | health and substance assessments perform with medication review due. |
Emergency room admission (procedure) | 146.18 | 146.18 | 0 | null | 33 | null | Burn, Skin burn | null | null | 0 | er admission for skin burn treat with naproxen. |
Hospital admission (procedure) | 110.92 | 20,099.08 | 9,132.14 | null | 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, ... | 28 | hospitalize for burn management require extensive multidisciplinary care include nursing, pt, ot, and speech therapy. |
Encounter for check up (procedure) | 85.55 | 85.55 | 85.55 | null | 33 | null | null | null | null | 0 | routine check-up post hospital discharge. no medications or procedures noted. |
General examination of patient (procedure) | 136.8 | 704.2 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Depression screen, Depression screen, Substance use assess, Drug abuse screen, Dental referral | 0 | comprehensive mental health and substance use assessments conducted; patient currently not in workforce. |
Encounter for check up (procedure) | 85.55 | 3,536.75 | 0 | null | 34 | null | null | null | Dental consult, Dental care, Supragingival scaling, Subgingival scaling, Dental bitewing, Gingival exam, Dental fluoride, Oral health ed | 0 | dental maintenance visit with fluoride treatment. |
Encounter for symptom (procedure) | 85.55 | 4,785.18 | 2,103.24 | null | 34 | null | Acute bronchitis | null | Sputum exam | 0 | present with acute bronchitis; sputum exam performed. medication include apap combination solution. |
Urgent care clinic (environment) | 142.58 | 789.68 | 473.81 | 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 | null | Med rec, Health/social needs assess | 0 | urgent care visit include medication reconciliation and health/social need assessment. patient full-time employ but experience stress. |
Encounter for check up (procedure) | 85.55 | 437.25 | 262.35 | null | 34 | null | Med review due | null | Med rec | 0 | medication reconciliation performed; medication review recommended. |
General examination of patient (procedure) | 136.8 | 568.2 | 0 | 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 | null | Health/social needs assess, Anxiety assess, Domestic abuse screen, Depression screen, Depression screen, Substance use assess, AUDIT-C assess | 0 | comprehensive assessments include domestic abuse and substance use screenings performed. medication review due. |
Emergency room admission (procedure) | 146.18 | 4,407.08 | 0 | null | 4 | null | Seizure d/o, H/o seizure, Epilepsy | null | null | 0 | patient, age 4, present to emergency room with history of seizures and epilepsy. admission for acute seizure disorder management. no medication note during this encounter. |
Well child visit (procedure) | 136.8 | 1,112.77 | 703.82 | null | 17 | null | Risk behaviors | null | null | 0 | at 17 years, patient attend well-child visit address risk behaviors typical for adolescent assessment. no procedures or medications recorded. |
General examination of patient (procedure) | 136.8 | 704.2 | 376.96 | null | 18 | null | Higher ed | null | null | 0 | during general examination at age 18, patient note to be enrol in higher education. no acute complaints or medications documented. |
Urgent care clinic (environment) | 142.58 | 1,056.56 | 658.84 | null | 21 | null | Obesity BMI>30, IPV | null | null | 0 | at 21 years, urgent care visit reveal obesity with bmi >30 and history of intimate partner violence (ipv). counsel and intervention recommended. |
Prenatal visit (regime/therapy) | 142.58 | 1,005.38 | 804.3 | null | 30 | null | H/o miscarriage | null | null | 0 | prenatal visit at 30 years with history of miscarriage. patient under routine prenatal care therapy. no medications or procedures recorded. |
Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | null | 39 | null | null | null | null | 0 | patient at 39 years present for treatment consultation; currently on jolivette 28-day oral contraceptive pack. |
General examination of patient (procedure) | 136.8 | 914.78 | 545.42 | null | 40 | null | Med review due, Part-time employed, Stress | null | null | 0 | general exam at 40 years note medication review due, patient be part-time employed, report stress symptoms. |
Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | null | 40 | null | null | null | null | 0 | consultation at age 40; patient continue jolivette 28-day pack for contraception management. |
Encounter for symptom (procedure) | 85.55 | 85.55 | 68.44 | null | 40 | BodyTemp 37.2 Cel | Acute viral pharyngitis | null | null | 0 | at 40 years, patient present with symptoms consistent with acute viral pharyngitis; supportive care advised. |
Prenatal initial visit (regime/therapy) | 142.58 | 42,253.81 | 33,803.06 | null | 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 | 0 | initial prenatal visit at age 40 include comprehensive labs and fetal assessments confirm normal pregnancy status. |
Prenatal visit (regime/therapy) | 142.58 | 6,280.86 | 0 | null | 41 | null | null | null | Fundal height eval, Fetal heart auscult, Amnio FISH aneuploidy | 0 | prenatal follow-up at 41 years include fetal heart auscultation, fundal height evaluation, and amniocentesis with fish for aneuploidy screening. |
Prenatal visit (regime/therapy) | 142.58 | 15,375.16 | 0 | null | 41 | null | null | null | Fetal anatomy scan, Antenatal AFP, Fundal height eval, Fetal heart auscult | 0 | continue prenatal monitor at age 41 with fetal anatomy scan and antenatal afp testing, fetal heart auscultation normal. |
Encounter for symptom (procedure) | 85.55 | 85.55 | 0 | null | 41 | null | Viral sinusitis | null | null | 0 | encounter at 41 years for symptoms of viral sinusitis manage conservatively. |
Prenatal visit (regime/therapy) | 142.58 | 9,870.76 | 0 | null | 41 | null | null | null | Fundal height eval, Fetal heart auscult | 0 | routine prenatal visit at 41 with fundal height evaluation and fetal heart auscultation within normal limits. |
Prenatal visit (regime/therapy) | 142.58 | 4,886.03 | 0 | null | 41 | null | null | null | Fundal height eval, Fetal heart auscult | 0 | additional prenatal care at 41 years show stable fetal development base on fundal height and heart auscultation. |
Prenatal visit (regime/therapy) | 142.58 | 9,745.6 | 0 | null | 41 | null | null | null | Complete hemogram w/diff, DTaP vax admin, Urine glucose, Fundal height eval, Fetal heart auscult | 0 | prenatal visit at 41 years include blood work, dtap vaccination, urine glucose screen and fetal vital checks. |
Prenatal visit (regime/therapy) | 142.58 | 8,683.9 | 0 | null | 41 | null | null | null | Fundal height eval, Fetal heart auscult | 0 | continue prenatal assessments demonstrate normal fetal growth and heart rate at age 41. |
Prenatal visit (regime/therapy) | 142.58 | 6,540.75 | 0 | null | 41 | null | null | null | GBS Ag, Fundal height eval, Fetal heart auscult | 0 | screen for group b streptococcus antigen perform along with routine fetal assessments at 41 years. |
Obstetric emergency hospital admission (procedure) | 146.18 | 4,782.48 | 0 | null | 41 | null | null | null | Epidural, C-section | 0 | emergency obstetric admission result in epidural analgesia and cesarean section delivery at age 41. |
Postnatal visit (regime/therapy) | 142.58 | 1,005.38 | 0 | null | 41 | null | null | null | PE, Depression screen | 0 | postnatal visit include physical examination and depression screening; patient monitor for postpartum depression. |
General examination of patient (procedure) | 136.8 | 1,050.78 | 1,050.78 | 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 | 0 | comprehensive evaluation at 42 years reveal limit social contact and unhealthy alcohol consumption screen with audit-c. |
Prenatal initial visit (regime/therapy) | 142.58 | 16,213.22 | 16,178.22 | null | 42 | null | Normal preg | null | Preg test, Fetal viability US | 0 | at 42 years, patient have initial prenatal visit confirm normal pregnancy via pregnancy test and fetal viability ultrasound. |
Patient-initiated encounter (procedure) | 85.55 | 4,444.98 | 3,369.58 | null | 43 | null | null | null | TOP counseling, TOP | 0 | patient-initiated visit at 43 years include counsel and management for termination of pregnancy (top). |
Prenatal visit (regime/therapy) | 142.58 | 1,443.68 | 1,154.94 | null | 43 | null | null | null | TOP care, PE, Depression screen | 0 | prenatal visit at 43 years involve follow-up top care, physical exam and depression screening. |
Consultation for treatment (procedure) | 142.58 | 8,872.88 | 7,098.3 | null | 43 | null | null | null | SC contraceptive insert | 0 | at 43 years, consultation lead to insertion of subcutaneous contraceptive implant (etonogestrel 68mg) for long-term contraception. |
General examination of patient (procedure) | 136.8 | 1,296.91 | 851.13 | 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 | 0 | general exam and screen at 44 years find patient employ full-time but socially isolated; multiple psychosocial assessments completed. |
Consultation for treatment (procedure) | 142.58 | 142.58 | 114.06 | null | 44 | null | null | null | null | 0 | treatment consultation with no document procedures or medications at 44 years. |
Patient encounter procedure (procedure) | 142.58 | 4,052.91 | 3,242.32 | null | 44 | null | null | null | IUD insertion | 0 | intrauterine device insertion perform at 44 years as contraceptive measure. |
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