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Luke Skywalker31 MRN: 2536981
325 A 4 Days
_Diagnosis field_

MRN #: 1152568
Birth Date: 04/04/1950
Status: Admitted after last midnight

Home Phone: (555) 555-5555
Home Adress: 44444 Coffee Ave.
Chocolate, NM

Work Phone: (555) 555-5555
Work Address: 4444 Coffee Ave.
Chocolate, NM

Team Members and patient contacts
PCP Dr. J. Lennon, (555) 555-5555
911 Luke Skywalker, (555) 555-5555
CM Case Manager, (555) 555-5555
Bruce Springstein, MD (555) 555-5555
David Bowie, MD (555) 555-5555
Cat Stevens, MD (555) 555-5555
Nurse Ratchet, RN (555) 555-5555
Reason for Admission

F/U Notes

Patient Billing Status

Dos: 10/13/16
CPT: 99223
Initial Hospital Care
Level 3
Provider: Cat Stevens
Dx: Bacterial Pneumonia
Acute Kidnet Injury
Type 2 Diabetes

Dos: 10/13/16
CPT: 99223
Initial Hospital Care
Level 3
Provider: Cat Stevens
Dx: Bacterial Pneumonia
Acute Kidnet Injury
Type 2 Diabetes

Dos: 10/13/16
CPT: 99223
Initial Hospital Care
Level 3
Provider: Cat Stevens
Dx: Bacterial Pneumonia
Acute Kidnet Injury
Type 2 Diabetes

Problem List
Problem Date added Physician
Pneumonia 07/10/16 Dr. James Brown
Hypothermia, Pneumonia 07/10/16 Dr. James Brown
Hypothermia, Pneumonia 07/10/16 Dr. James Brown
Tracking
Pending Discharge
Needs Transportation
High Risk
Readmission
Avoidable Days

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