№ files_lp_4_process_3_063382
File format: docx Character count: 4219 File size: 26 KB
Clinical training record describing a patient encounter, laboratory results, diagnostic coding, and billing linkage documented in an electronic health record system for a medical visit on 18 June 2020.
Year: 2020
Date of encounter: June 18, 2020
Location: Not specified
Medical provider: Dr. Alexis Whalen
Patient name: Carla Marie Hernandez
Patient chart number: AA028
Document type: Clinical encounter record and billing routing slip (Superbill)
Clinical setting: EHRclinic training environment
Medical specialty: Primary care / general medicine
Reason for visit: Sore throat and burning with urination
Diagnoses (ICD-10): J02.0 Streptococcal pharyngitis; N39.0 Urinary tract infection, site unspecified
Procedures: 87880 Rapid Strep Screen; 81000 Urinalysis; 87088 Urine Culture
Laboratory results: Rapid strep screen positive; urinalysis positive for urinary tract infection; urine culture ordered
Total charge: 78
Superbill number: SBA00002
Appointment time: June 18, 2020 13:00–13:15
Appointment type: New appointment
Appointment status: Ready for payment
Price: 8 / 10 USD
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EHRclinic Training Scenario: Ordering Routine Laboratory Tests and Mammography for Shenya Jones Appointment on June 18, 2020
Year: 2020
Date of appointment: June 18, 2020
Time of appointment: 13:30–14:00
Clinical setting: Outpatient medical examination
System: EHRclinic electronic health record system
Document type: Training scenario and procedural instructions
Medical context: General adult medical examination without abnormal findings
Diagnosis: Encounter for general adult medical examination without abnormal findings
Patient name: Shenya Jones
Provider: Dr. Alexis Whalen
Appointment type: New appointment
Reason for visit: Complete physical exam
Ordered laboratory tests: Basic Metabolic Panel; Lipid Panel; Urinalysis; Complete CBC with auto differential WBC
Imaging procedure: Mammography (Bilateral)
Patient education materials: Breast Cancer Fact Sheet; Mammogram information
EHR actions described: Entering diagnosis, ordering laboratory tests and imaging, attaching patient education materials, updating plan review status
Medical coding references: 80048 Basic Metabolic Panel; 80060 Lipid Panel; 81000 Urinalysis; 85025 Complete CBC with auto diff WBC; 77067 Mammography (Bilateral)
Audience: Medical office administration and health information training participants
Resume of Eduardo Hernandez
Year: 2006
Region / City: Finland / Tampere
Field: Corrosion Engineering, Materials Science, Mechanical Engineering
Document Type: Resume
Organization / Institution: Project X Corrosion Engineering Consulting
Author: Eduardo Hernandez
Target Audience: Employers, Professional Organizations, Engineering Firms
Period of Validity: Ongoing
Date of Approval: December 2013
Date of Updates: 2015
Add Allergies to a Patient’s Face Sheet: Carla Hernandez Scenario (12.08)
Year: Not specified
Person: Carla Hernandez
Subject: Patient allergy data entry
Topic: Electronic health records documentation
Document type: Training scenario and procedural instructions
System / Platform: EHRclinic
Medical category: Drug allergy documentation
Allergy type: Drug allergy
Allergy detail: Codeine
Onset: Adulthood
Recorded date and time: September 10, 2010 - 12:00 am
Severity: Severe
Status: Active
Adverse reaction: Breathing
Data source: Patient intake sheet
Primary activity: Adding allergy information to a patient face sheet
Target audience: Medical students or healthcare trainees using EHRclinic
Editorial Assessment of Manuscript Submission by Dr. Pedro Antonio Hernandez Cruz
Year: 2026
Region / City: Oaxaca, Mexico
Subject: Academic Publication
Document Type: Manuscript Review
Institution: Autonomous University "Benito Juarez" of Oaxaca
Author: Dr. Pedro Antonio Hernandez Cruz
Intended Audience: Academic Community
Reviewer: Editorial Board
Date of Evaluation: 2026
Statement on the Termination of Dr. Carla Hayden as Librarian of Congress
Organization: Anne Arundel County Public Library
Issuing Body: Chief Executive Officer and Board of Trustees
Document Type: Public statement
Subject: Termination of Dr. Carla Hayden as Librarian of Congress
Date of Event Referenced: Thursday evening (termination by email)
Historical References: January 26, 1802; September 14, 2016; 2015 Baltimore unrest; 2003–2004
Geographic Scope: United States; Maryland; Baltimore
Institutions Mentioned: Library of Congress; U.S. Copyright Office; Enoch Pratt Free Library; American Library Association; Chicago Public Library
Individuals Mentioned: Dr. Carla Hayden; President Thomas Jefferson; President Barack Obama; Karoline Leavitt; Freddie Gray
Core Themes: Intellectual freedom; access to information; nonpartisanship; diversity, equity, and inclusion; opposition to censorship; privacy rights
Audience: Residents of Anne Arundel County and the broader public
Add Allergies to a Patient’s Face Sheet: Carla Hernandez Scenario (12.08)
Year: Not specified
Person: Carla Hernandez
Subject: Patient allergy data entry
Topic: Electronic health records documentation
Document type: Training scenario and procedural instructions
System / Platform: EHRclinic
Medical category: Drug allergy documentation
Allergy type: Drug allergy
Allergy detail: Codeine
Onset: Adulthood
Recorded date and time: September 10, 2010 - 12:00 am
Severity: Severe
Status: Active
Adverse reaction: Breathing
Data source: Patient intake sheet
Primary activity: Adding allergy information to a patient face sheet
Target audience: Medical students or healthcare trainees using EHRclinic
Announcement of Dr. Carla Grottoli Joining the Superior Family Health Team Effective March 1, 2026
Organization: Superior Family Health Team
Type of document: Organizational announcement
Date of announcement: 2026
Effective date: March 1, 2026
Location: Superior Health Centre Building, 765 Queen Street East Suite 300
Institutional role: Primary care health team
Executive Director: Christina Spadafora
New team member: Dr. Carla Grottoli, Family Medicine Physician
Healthcare team members: Dr. Alan McLean; Dr. Brynlea Barbeau; Dr. Patricia Bouchard; Dr. Laura Caputo; Dr. Stacy Tkachyk; Dr. Mahsa Samadi; Julie Bradford, Nurse Practitioner; Nathan Penhearow, Nurse Practitioner
Associated healthcare professionals: Registered Social Worker; Physiotherapist; Pharmacist; Dietitian
Facility characteristics: Newly renovated wheelchair-accessible healthcare facility with waterfront view
Audience: Patients and community members
Topics: EHRclinic Hernandez Carla