LISTING OF VISITS WITH INJURY DIAGNOSES
This report will list visits that have an injury diagnosis. The user can select which visits to print based on any of the following criteria: Visit date, Clinic of Visit, Service Category of Visit, Type of Visit, Location of Encounter, and Age Range.
VLM
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SANTA MARIA HL CT
Visits with Injury Diagnosis
Visit Dates MAR 01, 2005, to MAR 23,2005
PATIENT |
HRCN |
AGE |
VISIT DATE |
PRV |
TYPE |
SER CAT |
Mouse, Marie |
12345 |
7 |
03/04/05 1314 |
11 |
IHS |
AMBULATORY |
ICD9: 845.00 |
Provider Narrative: L ANKLE SPRAIN |
Mouse, Minnie
|
312012
|
17
|
03/14/05 0954
|
00
|
IHS
|
AMBULATORY
|
ICD9: 913.8
|
Provider Narrative: EXCORIATED LESIONS ON WRISTS
|
Mouse, Mickey
|
11111
|
28
|
03/01/05 1325
|
08
|
IHS
|
AMBULATORY
|
ICD9: 913.9
|
Provider Narrative: SP CUTS ON R EYE FROM TRAUMA
|
Duck, Daffy
|
33333
|
80
|
03/14/05 0912
|
00
|
IHS
|
AMBULATORY
|
ICD9: 924.9
|
Provider Narrative: HEMATOMA AT ANGIOGRAM ENTRY SITE
|
Duck, Donald
|
110111
|
17
|
03/09/05 1426
|
11
|
IHS
|
AMBULATORY
|
ICD9: 920.
|
Provider Narrative: CONTUSION LACERATION FACE
|
Cause of Injury
|
E917.0 - STRUCK IN SPORTS
|
Date of Injury
|
03/09/05
|
Place of Accident:
|
OTHER
|
ICD9: 873.40
|
Provider Narrative: LACERATION FACE
|
Cause of Injury
|
E917.0 - STRUCK IN SPORTS
|
Date of Injury
|
03/08/05
|
Place of Accident:
|
OTHER
|
Medicaid, Mary
|
99999
|
69
|
03/03/05 0918
|
11
|
IHS
|
AMBULATORY |
ICD9: 943.01.
|
Provider Narrative: R FOREARM BURN
|
Medicare, Murphy
|
22222
|
76
|
03/14/05 0918
|
11
|
IHS
|
AMBULATORY
|
ICD9: 943.01.
|
Provider Narrative: CONTUSION L RIB CAGE
|
Cause of Injury
|
E888. - FALL NEC NOS
|
Date of Injury
|
03/12/05
|
Place of Accident:
|
HOME - OUTSIDE
|
RUN TIME (H.M.S): 0.0