Blake Photo Time-Line

BRMH EMERGENCY DEPARTMENT 17000 Medical Center Dr Baton Rouge LA 70816

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72013267927 Adm: 5/16/2021

05/16/2021 - ED in O'Neal - Emergency Dept. (continued)

ED Provider Note (continued)

Medical Decision Making

Scribe Attestation: Scribe #1: I performed the above scribed service and the documentation accurately describes the services I performed. I attest to the accuracy of the note. 05/16/2021 9:29 AM Attending: Physician Attestation Statement for Scribe #1: I, Nathan P. Freeman, MD, personally performed the services described in this documentation, as scribed by Taylor Dejean, in my presence, and it is both accurate and complete.

Clinical Impression

ICD-10 CM

ICD-9-CM

1. 2. 3.

Acute mucoid otitis media of right ear

H65.111 381.02 H92.01 388.70 J06.9 465.9

Right ear pain

URTI (acute upper respiratory infection)

Disposition: Disposition: Discharged Condition: Stable

Nathan P. Freeman, MD 05/16/21 0940

Electronically signed by Nathan P. Freeman, MD at 5/16/2021 9:40 AM

Generated on 7/19/22 2:38 PM

Page 38