| Care Type | Location | Service Date | Visit Reason |
|---|---|---|---|
| Emergency Department Visit | Holy Cross Hospital | Chest Pain |
| HCC / Diagnosis | Date / Physician |
|---|---|
|
19 - Diabetes without Complications N/A Consider Assesment
1 year since last assessment. |
— |
|
108 - Vascular Disease N/A Consider Assesment
1 year since last assessment. |
— |
|
22 - Morbid Obesity N/A Consider Assesment
1 year since last assessment. |
— |
|
96 - Specified Heart Arrhythmias V55.9 - Artial flutter |
Dr. Cathleen White |
| HCC / Diagnosis | Date / Physician |
|---|---|
|
19 - Diabetes without Complications 250.00 - DMII wo comp nt st uncntrld |
Dr. Michael Phillips |
|
108 - Vascular Disease 443.9 - Periph vascular dis NOS |
Dr. Michael Phillips |
|
22 - Morbid Obesity V85.43 - BMI 50.0 - 59.9 Adult |
Dr. Sam Jones |
|
96 - Specified Heart Arrhythmias V55.9 - Artial flutter |
Dr. Cathleen White |
| Care Type / Visit Reason | Eligible Service Dates |
|---|---|
|
Comprehensive Diabetes Care Last Completed: Consider Assessment
Preventive Service visit due. |
01/01/2016 - 12/31/2016 |
|
Flu Vaccine Last Completed: 09/20/2015 Consider Assessment
Quality Service visit due. |
01/01/2016 - 12/31/2016 |
|
Adult BMI Last Completed: Consider Referral
Preventive Service visit due. |
01/01/2016 - 12/31/2016 |
| Care Type / Visit Reason | Service Date / Location |
|---|---|
|
Colorectal Cancer Screening Colonoscopy |
Northland Medical Center |
|
Pneumococcal Conjugate Vaccine PCV13 |
Northland Community Care |
| Disposition | Note | Owner |
|---|---|---|
| Demographic Reconciliation | Contact Information Changed | Practice Central Operations |
| Action | Call Reason | When | Note |
|---|---|---|---|
| Scheduled Patient for Well Visit | Well Visit | N/A |