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02 January 2024
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Tue Jacob JonesJ
08:45 am - 09:45 amConfirmed
Darrell Steward
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
15:00 pm - 16:00 pmCompleted
Jenny Wilson
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
Guy Hawkins
00:00 am - 00:00 pmCompleted
Esther Howard
00:00 am - 00:00 pmCompleted
Olivia RhyeO
08:45 am - 09:45 amConfirmed
Leslie Alexander
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
11:00 am - 12:00 pmConfirmed
Annette Black
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
12:30 pm - 13:30 pmConfirmed
Kathryn Murphy
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
Annette BlackA
12:30 pm - 13:30 pmConfirmed
Dianne Russell
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
15:00 pm - 16:00 pmCompleted
Brooklyn Simmons
Male, 12/07/1993 | (406) 555-0120
Treatment - Excessive hair shedding or bald patches
Owing Balance - $70.00
Jerome Bell
00:00 am - 00:00 pmCompleted
CustomEHR
Sign- Off
Olivia Brooks Olivia Brooks 65 Years Female [email protected] 569-822-4144 PST English
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Step 3: Exam
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Full Encounter Summary
NameOlivia Brooks (65 yo, F) ID #8746 Appt. Date/Time08.00 AM on Tuesday, Dec 20, 2022 Reason For VisitHeadaches And Sickness
InsuranceMed Primary: AETNA Service Dept.Insurance # : 145236 ProviderCorina Earle
DOB08/14/1980 Patient's PharmaciesCardiology Patient's LabsMEDTIME PHARMACY (ERX): 400 12TH ST NW, CANTON, \OH 44703, Ph (234) 410-3366, Fax (234) 410-3221 CENTER
Vitals
Blood Pressure120/80 mmhg Height182 CM Weight171.96 lbs
Oxygen Saturation95% Oxygen 1L/Min Pluse69 bpm Regular Inhaled 02 Concentration95%
Body Mass Index171lbs Birth Weight2 Kg Heart Rate74 bpm
Waist Circumference37 inc Temperature98 oc Respiration Rate16
ICD & CPT Codes
ICD Code- 10 Code
E06.0:Acute thyroiditis
E06.4:Drug-induced thyroiditis
E07.9:Disorder of thyroid, unspecified
CPT Code-
000620:Thyroid Profile With TSH | Labcorp
78012:Thyroid uptake
78013:Thyroid Imaging
CustomEHR
Robert Fox
Robert Fox1992/01/20 (32 Yrs)  (Male)
(307) 555-0133
PAYERWaystar (Default)
PRIMARY CLINICIANBessie Cooper
Appointment Details
ClinicianBessie Cooper
POS Code11-Office
ParticipantOnly patient
DateFri , Apr 16 2022
Time09:00 AM - 10:00 AM
Last Appt5/27/25
Next Appt11/7/25
SOAP Note
CPT Codes/Units Select CPT Code
Service Modifiers 25
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Subjective
Chief ConcernsSelect
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Medication UseSelect
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Physical Health IssuesSelect
Physical ActivitySelect
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Intake
Previous Notes
PROBLEMS
2022Chronic Venous Insufficiency with Venous Stasis Ulcers (Lower Extremities)
2023Post-Surgical Wound Infection (Following debridement procedure)
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CustomEHR
Olivia Brooks Marvin McKinney Jenny Wilson
Olivia Brooks
Olivia Brooks
Patient Portal - Invited
65years F | July 14, 1965 | #8431
Diabetic Flag
Next AppointmentFri, August 25, 2023 Last VisitThu, July 25, 2023 Primary ProviderCorina Earle
Vitals - Weight134 Lbs BMI22.3
Balance Due - Patient$100 Insurance$ 210
CONSULTATION NOTE:
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DIAGNOSES
NoDiagnosesTypeOnset DateStatus
001A01.00 - Typhoid feverChronic04-10-2022Active
002A15.9 - Respiratory tuberculosis unspecifiedAcute10-10-2022Historical
003A66.6 - Bone and joint lesions of yawsAcute15-11-2022Historical
ALLERGIES
NoAllergy TypeAllergiesReactionOnset DateSeverity
001EnvironmentCigarette smokeCough04-10-2022Mild
002FoodMilkVomiting10-10-2022Moderate
003EnvironmentDustTightness In Breathing15-11-2022Severity
VITALS
Blood PressureNormal
135/85
Heart RateNormal
135
OxygenBelow Normal
85%
CustomEHR
All Bills To Be Submit For Claim Claim Submitted Secondary Claim To Be Submit
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21 Oct 2022 - 31 Oct 2022
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Claim IDPatient NameDate of ServiceProviderPayer NameBill AmountInsurance AmountClaim StatusAction
S3824Henna West (A242)65 yrs-M. (235) 143-324310-07-2022Dr. CorinaDermatologyMetLife$132$132Paid in Fullviewedit
S5837Demelza Robins (A324)59 yrs-M. (235) 143-324301-06-2022Monica GellerNeurologyAllied Insurance$100$100Settledviewsubmit
S9473Harry Riddle (A463)50 yrs-M. (235) 143-324322-05-2022Gina TribbianiAnesthesiologyAllianz Life$100$100Balance Dueviewedit
S9564Ron Weasley (A987)61 yrs-M. (235) 143-324310-07-2022Chandler BingEndocrinologyArbella Insurance Group$100$100Scrubbing Errorviewedit
S1462Ludo Bagman (A397)58 yrs-M. (235) 143-324301-06-2022Edward SmithGastroenterologyErie Insurance Group$100$100Settledviewsubmit
S7843Demelza Robins (A324)59 yrs-M. (235) 143-324301-06-2022Monica GellerNeurologyPacific Life$100$100Otherviewedit
CustomEHR
New 2
E-Prescription Request
Renewal Requests 5 Change Requests 2 Cancel Requests 5 Fill Responses 1 Send Failures 6
StatusFromToPatient NameMedicationLast UpdatedAction
FailedCarePlus PharmacyTeresa LeeDemelza RobinsLisinopril (Zestril, Prinivil)12-03-2025, 07:25:40 PMView
ClosedABC PharmacyMelissa WrightMary RiddleLevothyroxine (Synthroid, Levoxyl)10-03-2025, 07:25:40 PMView
NEWHealthHubCheryl AllenLudo BagmanMetformin (Glophage)03-03-2025, 07:25:40 PMView
PendingCunningham DrugJudy CooperTerry BootAtorvastatin (Lipitor)21-02-2025, 07:25:40 PMView
NEWArbor DrugsHelen RodriguezHermione GrangerAmlodipine (Norvasc)19-01-2025, 07:25:40 PMView
ClosedLifebridge PharmacyHeather WilliamsGinny WeasleyOmeprazole (Prilosec)10-01-2025, 07:25:40 PMView
NEWBeaconHealth PharmacyMyles SmithChristine TurneyAmlodipine (Norvasc)19-01-2025, 07:25:40 PMView
FailedLiberty Lane PharmacyJohn ChampagneRandall ReynoldsLisinopril (Zestril, Prinivil)12-03-2025, 07:25:40 PMView
NEWMeridian DrugstoreKatrina WeaverVictoria WhitcombAmlodipine (Norvasc)19-01-2025, 07:25:40 PMView
NEWHealthHubCheryl AllenMark FalconeAmlodipine (Norvasc)25-01-2025, 07:25:40 PMView
ClosedCarePlus PharmacyTeresa LeeMarion ClarkOmeprazole (Prilosec)10-01-2025, 07:25:40 PMView
FailedRxmaxKimberly DavisLuna LovegoodSertraline (Zoloft)02-01-2025, 07:25:40 PMView
CustomEHR
Dustin Carlson Visit Note Jul 22 2024, 04:45 PM  •  05m 18s
New Recording
Encounter Summary
Notes
SOAP Note
SOAP Note Update on - Jul 28 2024, 01:23 PM Copy All
SUBJECTIVE
  • Chief Complaint: Chest pain and increased fatigue.
  • History of Present Illness:
    Onset: 10 days ago.
    Duration: 5-10 minutes per episode.
    Frequency: 3-4 times per week, with exertion.
    Severity: 6/10 pain scale.
    Aggravating factors: Physical activity.
    Relieving factors: Rest and nitroglycerin use.
  • Past Medical History:
    CAD, hypertension.
    Previous MI 3 years ago.
    Medications: Metoprolol, Aspirin, Atorvastatin.
  • Family History: Father had heart disease, died at 60.
OBJECTIVE
  • Vital Signs:
    Blood pressure: 145/90 mmHg
    Heart rate: 80 bpm
    Respiratory rate: 16 breaths/min
    Physical Examination:
    Cardiovascular: Regular rhythm, S4 heart sound.
    Respiratory: Clear bilaterally.
    Extremities: No edema, normal pulses.
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CustomEHR
Setting
Profile Roles & Permission Users
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Full NameRoleContact NumberEmailLocationLast LoginStatusAction
Ahmad UmarProvider(406) 555-0120HHC Bellevue Hospital Center27 Aug 2020 1:03 PMActive
Farouk SaniProvider(907) 555-0101HHC Bellevue Hospital Center27 Aug 2020 12:32 AMInactive
Umar AbdullahiStaff(480) 555-0103Lenox Hill Hospital27 Aug 2020 12:05 PMActive
Isah KabirProvider(603) 555-0123Gracie Square Hospital27 Aug 2020 6:22 AMActive
Mustapha UsmanStaff(704) 555-0127Harlem Hospital Center27 Aug 2020 2:33 PMInactive
Aminu GarbaProvider(239) 555-0108Gracie Square Hospital27 Aug 2020 10:13 AMActive
Jane CooperProvider(316) 555-0116Mount Sinai Hospital27 Aug 2020 9:51 AMActive
Darrell StewardProvider(208) 555-0112NYU Langone Medical Center27 Aug 2020 8:30 AMInactive
Guy HawkinsStaff(808) 555-0111NYU Langone Medical Center27 Aug 2020 11:56 AMActive
Ralph EdwardsProvider(219) 555-0114NYU Langone Medical Center27 Aug 2020 10:26 AMInactive
Kristin WatsonProvider(684) 555-0102Mount Sinai Beth Israel27 Aug 2020 8:03 AMInactive
Albert FloresStaff(225) 555-0118NYU Langone Medical Center27 Aug 2020 10:05 AMActive
Dianne RussellProvider(217) 555-0113Mount Sinai Beth Israel26 Aug 2020 9:16 AMInactive
Jenny WilsonStaff(702) 555-0122New York Presbyterian/Weill Cornell Medical26 Aug 2020 12:34 PMInactive
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