User Admin

Patient Visit - Encounter

Patient Info

Maria Rodriguez

Address : 2349 Spinnaker Lane

Phone : 724-376-4350

Age : 28

DOB : 10/07/1984

City/State/Zip : Joliet, LA - 60432

Allergies to Review
Valproic Acid and Related

Disease States to Review
1 DEG BURN BACK OF HAND	944.10
10-19% BDY BRN/10-19% 3D	001.00

Patient Concerns to Review
1 DEG BURN BACK OF HAND

Patient Assessment

Item	Description	Significance / Severity

Subjective

Objective

Assessment

Plan

Patient Education Needs

Follow Up

Search Criteria

Product Name

NDC

GPI

Product Name Product Name	NDC NDC	MFG. MFG.	GPI GPI	PKG Size PKG Size	Unit Cost Unit Cost	AWP AWP	Status Status	QTY Available QTY Available	Route Route
Abacavir Sulfate Tablet 300 MG	54569-6351-00	AsmedSolut	4785123421	28.823	3.75	2.50	Active	59	Oral
Abilify Tablet	59148-0007-13	BMS-PC	4784251231	66.666	5.50	1.45	Active	99	Oral
Disprin Aero Breath Act 2	21321-2312-31	VK Pharma	4784512321	22.000	2.90	1.20	Active	21	Oral
Digoxin Tablet 125 MCG	59148-2312-31	Sandoz	4784215123	90.000	3.60	2.10	Active	19	Oral
Macrobid Capsule 100 MG	54569-3544-31	Almatica	5184212347	22.000	6.80	3.25	Active	7	Oral

	Professional Condition Name	Patient Condition Name

Prfx	Professional Condition Name	Patient Condition Name
	1 DEG BURN FINGR W THUMB	First Degree Burn
	1 DEG BURN FINGR W THUMB	Burn
	1 EYE-SEV/OTH-BLIND NOS	Loss of Vision
	10-19% BODY SURFACE BURN	Third Degree Burn

	Selected Medical Conditions / Diagnosis
	1 DEG BURN FINGR W THUMB	First Degree Burn