Signed encounter note
Reason for visit
Follow-up for dysuria and review of the urine-culture result.
Interval history
Burning with urination began three days ago and continues today. No fever, flank pain, or other systemic symptom is reported.
Culture result
Urine culture grew E. coli, not otherwise specified, and susceptibilities support the planned oral antibiotic.
Assessment and plan
Urinary tract infection, site unspecified, due to E. coli. Begin antibiotic treatment based on the culture result and review return precautions.
Work item details
Assignment
- Task
- Code from chart
- Assignment ID
- WRK-025
- Date of service
- 2026-11-03
- Note status
- signed
- Setting
- Outpatient physician office
Official coding reference
FY 2027
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Tabular notes
Review Excludes, Code first, Code also, specificity, laterality, and required characters before submitting.
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