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Indian Health Service The Federal Health Program for American Indians and Alaska Natives


     Indian Health Manual
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Circular Exhibit 2006-02-A

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

Page 1

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


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