| Care Type | Location | Service Date | Visit Reason |
|---|---|---|---|
| Emergency Department Visit | Holy Cross Hospital | 04/28/2025 | Chest Pain |
| Care Type |
|---|
| Emergency Department Visit |
| Care Type |
|---|
| Care Type | Location | Service Date | Visit Reason |
|---|
| 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 |
03/29/2025 Dr. Cathleen White |
| HCC / Diagnosis |
|---|
|
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 |
| HCC / Diagnosis |
|---|
| HCC / Diagnosis | Date / Physician |
|---|
| HCC / Diagnosis | Date / Physician |
|---|---|
|
19 - Diabetes without Complications 250.00 - DMII wo comp nt st uncntrld |
05/03/2024 Dr. Michael Phillips |
|
108 - Vascular Disease 443.9 - Periph vascular dis NOS |
05/03/2024 Dr. Michael Phillips |
|
22 - Morbid Obesity V85.43 - BMI 50.0 - 59.9 Adult |
01/12/2023 Dr. Sam Jones |
|
96 - Specified Heart Arrhythmias V55.9 - Artial flutter |
01/12/2024 Dr. Cathleen White |
| HCC / Diagnosis |
|---|
|
19 - Diabetes without Complications 250.00 - DMII wo comp nt st uncntrld |
|
108 - Vascular Disease 443.9 - Periph vascular dis NOS |
|
22 - Morbid Obesity V85.43 - BMI 50.0 - 59.9 Adult |
|
96 - Specified Heart Arrhythmias V55.9 - Artial flutter |
| HCC / Diagnosis |
|---|
| HCC / Diagnosis | Date / Physician |
|---|
| Care Type / Visit Reason | Eligible Service Dates |
|---|---|
|
Comprehensive Diabetes Care Last Completed: 05/03/2024 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: 05/03/2024 Consider Referral
Preventive Service visit due. |
01/01/2016 - 12/31/2016 |
| Care Type / Visit Reason |
|---|
|
Comprehensive Diabetes Care Last Completed: 05/03/2024 Consider Assessment
Preventive Service visit due. |
|
Flu Vaccine Last Completed: 09/20/2015 Consider Assessment
Quality Service visit due. |
|
Adult BMI Last Completed: 05/03/2024 Consider Referral
Preventive Service visit due. |
| Care Type / Visit Reason |
|---|
| Care Type / Visit Reason | Eligible Service Dates |
|---|
| Care Type / Visit Reason | Service Date / Location |
|---|---|
|
Colorectal Cancer Screening Colonoscopy |
11/12/2021 Northland Medical Center |
|
Pneumococcal Conjugate Vaccine PCV13 |
08/13/2020 Northland Community Care |
| Care Type / Visit Reason |
|---|
|
Colorectal Cancer Screening Colonoscopy |
|
Pneumococcal Conjugate Vaccine PCV13 |
| Care Type / Visit Reason |
|---|
| Care Type / Visit Reason | Service Date / Location |
|---|
| Disposition | Note | Owner |
|---|---|---|
| Demographic Reconciliation | Contact Information Changed | Practice Central Operations |
| Disposition |
|---|
| Demographic Reconciliation |
| Disposition |
|---|
| Disposition | Note | Owner |
|---|
| Action | Call Reason | When | Note |
|---|---|---|---|
| Scheduled Patient for Well Visit | Well Visit | 05/13/2025 | N/A |
| Action |
|---|
| Scheduled Patient for Well Visit |
| Action |
|---|
| Action | Call Reason | When | Note |
|---|