ICD-10 Code Z76.89

Persons encountering health services in oth circumstances

Diagnosis Code Z76.89

ICD-10: Z76.89
Short Description: Persons encountering health services in oth circumstances
Long Description: Persons encountering health services in other specified circumstances
Version 2019 of the ICD-10-CM diagnosis code Z76.89

Valid for Submission
The code Z76.89 is valid for submission for HIPAA-covered transactions.

Deleted Code
This code was deleted in the 2019 ICD-10 code set with the code(s) listed below. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2018. This code was replaced for the FY 2019 (October 1, 2018 - September 30, 2019).
  • Z29.3 - Encounter for prophylactic fluoride administration
  • Z29.8 - Encounter for other specified prophylactic measures
  • Z29.9 - Encounter for prophylactic measures, unspecified
  • Z51.6 - Encounter for desensitization to allergens

Code Classification
  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons encountering health services in other circumstances (Z69-Z76)
      • Persons encountering health services in other circumstances (Z76)
Version 2019 Replaced Code Billable Code Unacceptable Principal Diagnosis POA Exempt

Information for Medical Professionals


Code Edits
The following edits are applicable to this code:
Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Convert to ICD-9
  • V65.49 - Other specfd counseling (Approximate Flag)
  • V65.8 - Reason for consult NEC (Approximate Flag)

Present on Admission (POA)
The code Z76.89 is exempt from POA reporting.

Synonyms
  • 10 year examination not offered
  • 15 year examination not offered
  • 18 month examination not offered
  • 2.5 year examination not offered
  • 3.5 year examination not offered
  • 4.5 year examination not offered
  • 8-9 month exam not offered
  • A/N amniocentesis - offered
  • A/N amniocentesis wanted
  • A/N U/S scan offered
  • A/N U/S scan wanted
  • Abdominal aortic aneurysm screening offered
  • Able to manage urinary catheter care
  • Able to mobilize outside
  • Able to mobilize using outdoor motorized wheelchair
  • Able to tolerate being cleaned during toileting
  • Able to tolerate changing diaper
  • Able to tolerate changing incontinence pad
  • Able to tolerate toileting routine
  • Abnormal patient reaction
  • Absent from work or school due to asthma
  • ACBS prescription
  • Activity alteration
  • Adenoidectomy planned
  • Administration of RhD immune globulin not offered
  • Admitted to substance misuse detoxification center
  • Adult foster home living
  • Advocacy offered
  • Age-related inability to receive treatment
  • Alcohol leaflet given
  • Alcohol questionnaire completed
  • All over the counter medication checked
  • Allergen immunotherapy started
  • Allergic disorder treatment started
  • Allergic disorder treatment started
  • Allergy testing done
  • Allergy treatment changed
  • Alpha-fetoprotein blood test not offered
  • Alzheimer's disease society member
  • Ambivalent about becoming pregnant
  • Ambivalent attitude about trying to conceive
  • Amniocentesis not offered
  • Amniocentesis sample not obtained
  • Analgesics requested
  • Angiotensin converting enzyme inhibitor indicated
  • Angiotensin converting enzyme inhibitor target dose not achieved
  • Antenatal amniocentesis
  • Antenatal amniocentesis
  • Antenatal blood group screening done
  • Antenatal care: not offered
  • Antenatal Rhesus antibody screening not offered
  • Antenatal screening for human immunodeficiency virus not offered
  • Antenatal screening for viral hepatitis type B not offered
  • Antenatal sickle cell screening done
  • Antenatal thalassemia screening not offered
  • Antenatal ultrasound scan status
  • Antenatal ultrasound scan status
  • Antibiotic prophylaxis not recommended
  • Antibiotic prophylaxis recommended
  • Anticoagulant prescribed by third party
  • Antifungal therapy indicated
  • Appointment not available
  • Arthroscopy planned
  • Aspirin indicated
  • Assessment for pulmonary rehabilitation completed
  • Assessment of barriers to meet care plan goals performed
  • Assessment of environmental risk done
  • Assessment of needs - review
  • Assessment of needs of carer completed
  • Assessment using Carer Support Needs Assessment Tool
  • Assisted living facility patient
  • Asthma leaflet given
  • Asthma limiting activities
  • Asthma medication not prescribed
  • Asthma monitor offer default
  • Asthma monitoring check done
  • Asthma monitoring due
  • Asthma monitoring status
  • Asthma monitoring status
  • Asthma monitoring status
  • Asthma monitoring status
  • Asthma prophylactic medication used
  • Asthma society member
  • Attended psycho-educational group
  • Attending cardiology clinic
  • Attending chest clinic
  • Attending clinic
  • Attending day hospital
  • Attending diabetes clinic
  • Attending establishment
  • Attending ophthalmology clinic
  • Attends asthma monitoring
  • Attends diabetes monitoring
  • Attends geriatric monitoring
  • Attends obesity monitoring
  • Attends psychiatric outpatient clinic
  • Attends respiratory support group
  • Attends slimming clinic
  • Attends stop smoking monitoring
  • Attends stress monitoring
  • Attends well adult monitoring
  • Attends well man monitoring
  • Attends well woman monitoring
  • Attitude - finding
  • Attitude - finding
  • Aware of prognosis
  • B12 deficiency monitoring status
  • B12 deficiency monitoring status
  • B12 injections - at home
  • B12 injections - at surgery
  • B12 injections started
  • Barium meal performed
  • Behavioral tolerance to drug
  • Beta blocker indicated
  • Biopsy planned
  • Blood been cross-matched
  • Blood disorder treatment changed
  • Blood disorder treatment started
  • Blood on pants
  • Blood on toilet paper
  • Blood pressure leaflet given
  • Blood product issued
  • Blood sample sent to hematology laboratory
  • Blood sugar charts
  • Blood test due
  • Born by forceps delivery
  • Born by ventouse delivery
  • Breast neoplasm screening status
  • Breast screening requested
  • Brief history taken
  • Calcium channel blocker indicated
  • Cancer care plan discussed with partner in relationship
  • Cancer care plan discussed with patient
  • Cancer cervix screening - not offered
  • Cancer cervix screening - offered
  • Cancer cervix screening - wanted
  • Cancer diagnosis discussed
  • Cancer diagnosis discussed with partner in relationship
  • Cancer diagnosis discussed with patient
  • Cancer home care pack given
  • Cancer information offered
  • Cancer screening follow up
  • Cancer treatment started
  • Cardiac disease treatment started
  • Cardiac function test done
  • Cardiac treatment changed
  • Cardiology domiciliary visit done
  • Cardiology domiciliary visit requested
  • Cardiopulmonary resuscitation discontinued - medical control order
  • Cardiopulmonary resuscitation discontinued - signs of death
  • Cardiopulmonary resuscitation discontinued as per protocol
  • Care by local physician
  • Care plan goal achievement status unknown
  • Care plan goal agreed
  • Care plan goal not agreed
  • Caregiver unable to obtain copy of document
  • Carer of a person with alcohol misuse
  • Carer of a person with chronic disease
  • Carer of a person with learning disability
  • Carer of a person with mental health problem
  • Carer of a person with physical disability
  • Carer of a person with sensory impairment
  • Carer of a person with substance misuse
  • Cares for a friend
  • Cares for a neighbor
  • Cares for self
  • Case management ended
  • Case management started
  • Cell phenotyping performed
  • Cervical smear - action needed
  • Cervical smear - suspend recall
  • Cervical smear defaulter
  • Cervical smear due
  • Cervical smear every 12 months for life
  • Cervical smear overdue
  • Chaperone not available
  • Chaperone offered
  • Chaperone refused
  • Check endoscopy - condition resolved
  • Chemotherapy started
  • Chest medicine domiciliary visit done
  • Chest medicine domiciliary visit requested
  • Child 1 year examination not offered
  • Child 21 month examination not offered
  • Child 3 year exam not offered
  • Child 39 month examination not offered
  • Child 6 month examination not offered
  • Child 6 week examination not offered
  • Child 7 month examination not offered
  • Child 8 week examination not offered
  • Child at risk
  • Child at risk case conference status
  • Child at risk case conference status
  • Child at risk conf attend <1hr
  • Child at risk conf attend >1hr
  • Child examination at 1 year with explicit context
  • Child examination at 10 years with explicit context
  • Child examination at 15 years with explicit context
  • Child examination at 18 months with explicit context
  • Child examination at 2.5 years with explicit context
  • Child examination at 21 months with explicit context
  • Child examination at 3 years with explicit context
  • Child examination at 3.5 years with explicit context
  • Child examination at 39 months with explicit context
  • Child examination at 4.5 years with explicit context
  • Child examination at 6 months with explicit context
  • Child examination at 6 weeks with explicit context
  • Child examination at 7 months with explicit context
  • Child examination at 8 to 9 months with explicit context
  • Child examination at 8 weeks with explicit context
  • Child on protection register
  • Child referred to consultant
  • Child referred to G.P.
  • Child referred to orthoptist
  • Child surveillance status
  • Child surveillance status
  • Child surveillance status
  • Child surveillance status
  • Cholecystectomy planned
  • Cholesterol reduction program - attended
  • Cholesterol reduction program - invited
  • Cholesterol reduction program status
  • Cholesterol reduction program status
  • Chooses not to use contraception
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - care arrangement
  • Chronic disease - treatment changed
  • Chronic disease - treatment started
  • Chronic disease monitoring not required
  • Chronic long term disease management required
  • Chronic long term disease management required: complex needs
  • Chronic obstructive pulmonary disease leaflet given
  • Clinical drug trial status
  • Clinical management plan completed
  • Cognitive perceptual finding
  • Cognitive perceptual finding
  • Cognitive perceptual finding
  • Colonoscopy planned
  • Community care assessment completed
  • Community detoxification registered
  • Community resource finding
  • Community resource finding
  • Community resource finding
  • Community resource finding
  • Community resource finding
  • Completion of clinical trial
  • Compliance issues discussed with patient
  • Conceived by in vitro fertilization
  • Concern about breast appearance
  • Concerned about appearance
  • Conjunctival swab for virology received
  • Consent status for record sharing
  • Consent status for record sharing
  • Contraception leaflet given
  • Contraception not needed
  • Contraception status unknown
  • Contraceptive cap defaulted from check
  • Contraceptive cap status
  • Coping stress tolerance finding
  • Coronary heart disease monitoring 1st letter
  • Coronary heart disease monitoring 2nd letter
  • Coronary heart disease monitoring 3rd letter
  • Coronary heart disease monitoring check done
  • Coronary heart disease monitoring default
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring status
  • Coronary heart disease monitoring verbal invitation
  • Counseling not offered
  • Counseling offered
  • Counseling requested
  • Crisis
  • CSF test due
  • Cytogenetic study performed
  • Declines to state contraceptive method
  • Decreased stress tolerance
  • Deferred antibiotic therapy
  • Deficient knowledge of behavior change process
  • Deficient knowledge of breast feeding
  • Deficient knowledge of child development
  • Deficient knowledge of childbirth
  • Deficient knowledge of community services
  • Deficient knowledge of diagnostic testing
  • Deficient knowledge of dietary regimen
  • Deficient knowledge of disease process
  • Deficient knowledge of exercise
  • Deficient knowledge of fall prevention
  • Deficient knowledge of family planning methods
  • Deficient knowledge of fetal development
  • Deficient knowledge of fluid volume management
  • Deficient knowledge of healthcare alternatives
  • Deficient knowledge of infant care
  • Deficient knowledge of infant feeding
  • Deficient knowledge of medication
  • Deficient knowledge of medication administration
  • Deficient knowledge of medication regimen
  • Deficient knowledge of medication storage
  • Deficient knowledge of oral hygiene
  • Deficient knowledge of pain management
  • Deficient knowledge of parenting
  • Deficient knowledge of patient controlled analgesia
  • Deficient knowledge of peritoneal dialysis
  • Deficient knowledge of physical therapy
  • Deficient knowledge of preconception health practices
  • Deficient knowledge of pregnancy
  • Deficient knowledge of safety precautions
  • Deficient knowledge of sexual behavior
  • Deficient knowledge of symptom
  • Deficient knowledge of therapeutic regimen
  • Deficient knowledge of traditional therapy
  • Deficient knowledge of travel health
  • Delay in receiving benefits
  • Delayed hypersensitivity skin test for histoplasmin done
  • Delivery booking place changed
  • Delivery place booked
  • Delivery place planned
  • Delivery: no place booked
  • Dementia leaflet given
  • Demonstrates knowledge of expected responses to operative procedure
  • Demonstrates knowledge of medication management
  • Demonstrates knowledge of nutritional requirements related to operative procedure
  • Demonstrates knowledge of pain management
  • Demonstrates knowledge of wound healing process
  • Denial - mental defense mechanism
  • Denial about illness severity
  • Depression annual review
  • Depression interim review
  • Depth of examination
  • Dermatology domiciliary visit done
  • Dermatology domiciliary visit requested
  • Determination of outcome, complication avoidable, error in diagnosis
  • Determination of outcome, complication avoidable, error in judgement
  • Determination of outcome, complication avoidable, error in technique
  • Determination of outcome, complication unavoidable
  • Determination of outcome, death avoidable, chart audit required
  • Determination of outcome, death avoidable, error in diagnosis
  • Determination of outcome, death avoidable, error in judgement
  • Determination of outcome, death avoidable, error in technique
  • Determination of outcome, death unavoidable
  • Determination of outcome, unsatisfactory to patient
  • Determination of outcome, unsatisfactory to physician
  • Determination of pattern of resistance to antiviral agent done
  • Diabetes monitoring check done
  • Diabetes monitoring default
  • Diabetes monitoring deleted
  • Diabetes: practice program
  • Diabetes: shared care program
  • Diabetic association member
  • Diabetic leaflet given
  • Diabetic monitoring - injection sites
  • Diabetic patient unsuitable for digital retinal photography
  • Diabetic retinopathy 12 month review
  • Diabetic retinopathy 6 month review
  • Diabetic retinopathy screening offered
  • Diabetic treatment changed
  • Diabetology domiciliary visit done
  • Diabetology domiciliary visit requested
  • Diagnosis deferred
  • Diaphragm contraceptive prescription renewed
  • Diet leaflet given
  • Difficulty adopting sick role
  • Difficulty agreeing with care plan
  • Difficulty lip reading
  • Difficulty participating in care planning
  • Difficulty self monitoring disease
  • Difficulty understanding community service provider role
  • Difficulty using respiratory support for voice
  • Difficulty with postpartum rest pattern
  • Difficulty with prenatal rest pattern
  • Dilatation and curettage planned
  • Discharge from ambulance clinical care
  • Discussed with care coordinator
  • Discussed with consultant
  • Discussed with dispensing pharmacist
  • Discussed with district nurse
  • Discussed with doctor
  • Discussed with health care professional
  • Discussed with next of kin
  • Discussed with patient
  • Discussed with payor
  • Discussed with physician
  • Discussed with practice nurse
  • Discussed with prescriber
  • Discussed with primary care provider
  • Discussed with social worker
  • Discussed with specialist
  • Discussion about cardiopulmonary resuscitation with family member
  • Discussion about care plan with family
  • Discussion with family about decision
  • Disorganized historian
  • Dissatisfaction with community resource services
  • District nurse involvement stopped
  • Diuretic indicated
  • Diversional activity deficit
  • Doctor patient status
  • Does not adopt sick role
  • Does not agree with care plan
  • Does not clean needles
  • Does not talk about problem
  • Does not use contraception
  • Does not use respiratory support for voice
  • Does use respiratory support for voice
  • Domiciliary chiropody
  • Domiciliary occupational therapy
  • Domiciliary visit received
  • Domiciliary visit requested
  • Double test not offered
  • Double test offered
  • Double test wanted
  • Down's screening status
  • Down's screening status
  • Down's screening status
  • Down's screening status
  • Drug action reversal
  • Drug addict re-notific due
  • Drug addiction notification status
  • Drug administration observations
  • Drug administration observations
  • Drug administration observations
  • Drug administration observations
  • Drug administration observations
  • Drug changed to cost effective alternative
  • Drug compliance checked
  • Drug directions not adequate and appropriate
  • Drug dosage altered
  • Drug dose
  • Drug dose
  • Drug dose
  • Drug dose - time changed
  • Drug formulation inappropriate
  • Drug indicated
  • Drug interactions considered as new drugs added
  • Drug interactions identified - drug changed
  • Drug not available - out of stock
  • Drug not available-off market
  • Drug not collect -pat.disagree
  • Drug not collected -
  • Drug not collected - no reason
  • Drug not collected-lost script
  • Drug not issued OS
  • Drug over usage checked
  • Drug prescription
  • Drug side effect - acceptable to patient
  • Drug side effects checked
  • Drug tolerance - finding
  • Drug tolerance - finding
  • Drug tolerance - finding
  • Drug tolerance - finding
  • Drug treatment still needed
  • Drug under usage checked
  • Drug-related offending behavior
  • Drugs not issued
  • Dual energy X-ray photon absorptiometry scan requested
  • Duplex scan performed
  • Duplicate drug therapy stopped
  • Duration of medication therapy too long
  • Duration of medication therapy too short
  • Ear nose and throat disease treatment started
  • Ear, nose and throat operation planned
  • Early admission to school for medical reasons
  • Eating habit unknown
  • Edinburgh postnatal depression scale screening offered
  • Education of proxy about dispensing medication
  • Efficacy of all medication checked
  • Emergency contraception leaflet given
  • Employment circumstances of partner or spouse
  • Endocrine disease treatment started
  • Endoscopy arranged
  • ENT domiciliary visit done
  • ENT domiciliary visit requested
  • ENT treatment changed
  • Enteral nutrition administration method inappropriate
  • Entered into device clinical trial
  • Entered into drug clinical trial
  • Entitled to prescription exemption
  • Environmental allergen immunotherapy started
  • Environmental risk assessment declined
  • Epilepsy leaflet given
  • Epilepsy treatment changed
  • Epilepsy treatment started
  • Equivalent quantities for all medication checked
  • Evaluation limited by stereo image quality
  • Excision planned
  • Exempt from military service
  • Exercise assessment completed
  • Exercise leaflet given
  • Exercise monitoring status
  • Exercise tolerance test done
  • External fetal rotation
  • Eye care leaflet given
  • Failed encounter - left message with person
  • Failed encounter - line busy when call returned
  • Falls advice - hip protectors supplied
  • Family employment circumstance
  • Family employment circumstance
  • Family history taken
  • Family notified
  • Father remarried
  • Feces test due
  • Fetal disengagement
  • Fetal parts not distinguishable per abdomen
  • Fetal parts not palpable per abdomen
  • Financial problem
  • Finding of legal status of patient
  • Finding of receipt of benefit status
  • Finding related to ability to lip read
  • Finding related to ability to mobilize outside
  • Finding related to ability to talk about problems
  • Finding related to ability to talk about problems
  • Finding related to awareness of diagnosis
  • Finding related to giving of individual health history
  • Finding related to giving of individual health history
  • Finding related to giving of individual health history
  • Finding related to pregnancy intention
  • Finding related to pregnancy intention
  • Finding related to pregnancy intention
  • Finding related to pregnancy intention
  • Fit for work
  • Fit to return to work
  • Fit to return to work with restrictions
  • Follow-up arranged
  • Footwear showing signs of poor construction
  • Foreign body in orifice
  • Forgot to bring medication
  • FP13 - ex HM forces registrat
  • Frequent mental health care
  • Full care by GP
  • Full care by hospice
  • Full care by specialist
  • Full care: nurse practitioner
  • Full examination performed
  • Further opinion sought
  • Gastroenterology domiciliary visit done
  • Gastroenterology domiciliary visit requested
  • Gastrointestinal tract disease treatment started
  • Gastrointestinal tract treatment changed
  • General medicine domiciliary visit done
  • General medicine domiciliary visit requested
  • General surgery domiciliary visit requested
  • General surgical domiciliary visit done
  • Generic prescribing checked
  • Geriatric domiciliary visit done
  • Geriatric domiciliary visit requested
  • Geriatric monitoring check done
  • Geriatric monitoring default
  • Geriatric monitoring status
  • Geriatric monitoring status
  • Geriatric monitoring status
  • Goal achievement finding
  • Goal achievement finding
  • Goal not achieved
  • Gout treatment changed
  • Guardian interview performed
  • Gynecological disorder treatment changed
  • Gynecological disorder treatment started
  • Gynecological domiciliary visit done
  • Gynecological domiciliary visit requested
  • Gynecological operation planned
  • Has community mental health team key worker
  • Has diabetes identity card
  • Has end of life care general practitioner
  • Has end of life care key nurse
  • Has end of life care key worker
  • Has end of life care plan
  • Has infirm partner
  • Has support worker
  • Heaf test done
  • Health education not wanted
  • Health education offered
  • Health seeking behavior
  • Health seeking behavior alteration
  • Healthcare needs met by service
  • Heart operation planned
  • Hematology test not needed
  • Hematology test performed
  • Hematology test requested
  • Hemoglobin variant screening requested
  • Hemosiderin laden macrophages seen
  • Hepatitis B immunization recommended
  • Herniotomy planned
  • High dose antipsychotic drug therapy
  • High risk medication monitoring indicated
  • High risk treatment changed
  • High risk treatment started
  • Hip replacement planned
  • History not obtained
  • History of being infant bottle fed
  • History of palliative care consultation
  • History taken on subject
  • History taken on subject
  • History taken on subject
  • History taken on subject
  • HIV test offered
  • Home delivery booked
  • Home delivery planned
  • Home help organized
  • Home visit canceled by patient
  • Home visit planned by doctor
  • Home visit planned by healthcare professional
  • Home visit status
  • Home visit status
  • Home visit status
  • Hormone replacement monitoring default
  • Hormone replacement monitoring status
  • Hormone replacement therapy changed
  • Hospital inpatient stay within past 30 days
  • Hospital prescription
  • Housebound
  • Hypersensitivity skin test done
  • Hypertension monitoring offer default
  • Hypertension monitoring status
  • Hypertensive treatment changed
  • Hypoglycemic attack requiring 3rd party assistance
  • Hysterectomy planned
  • Ideal weight discussed
  • Illicit medication use
  • Illicit medication use unknown
  • Imaging finding reviewed
  • Immunization advised
  • Immunization advised
  • Immunization not offered
  • Immunization offered
  • Immunization status unknown
  • Immunology domiciliary visit done
  • Immunology domiciliary visit requested
  • Impaired attitude to nutritional status
  • In transition from child to adult care service
  • Inadequate anesthetic assessment
  • Inadequate body fluid replacement
  • Inadequate bowel preparation
  • Inadequate community resources
  • Inadequate community resources to encourage healthy living
  • Inadequate equipment assessment
  • Inadequate healthcare resources
  • Inadequate premedication
  • Inadequate premedication for anesthetic procedure
  • Inadequate preoperative assessment
  • Inadequate preoperative communication with patient
  • Inadequate preoperative fluid replacement
  • Inadequate treatment plan
  • Inadequate use of communication device to communicate with community resources
  • Inappropriate infusion of enteral nutrition
  • Inappropriate infusion of parenteral nutrition
  • Inappropriate referral
  • Incomplete examination due to inadequate preparation
  • Incretin mimetic therapy started
  • Indication for each drug checked
  • Ineffective therapeutic regimen management
  • Influenza immunization advised at home
  • Influenza immunization advised in surgery
  • Informal patient
  • Informal referral - signposted to other agency
  • Information status
  • Inhaled bronchodilator not prescribed
  • Inhaler technique observed
  • Inpatient management required
  • Insulin dose changed
  • Intermediate history taken
  • Interpreter booked
  • Interpreter needed
  • Interpreter not available
  • Intrauterine device contraception leaflet given
  • IUD check due
  • Joined self-help group
  • Kveim test done
  • Laboratory procedure performed
  • Laboratory specimen submitted
  • Laboratory test due
  • Laboratory test not necessary
  • Lack of symptom control
  • Language barrier impedes ability to use community resources
  • Left after triage
  • Left against medical advice
  • Left before being seen
  • Left before triage
  • Left military service
  • Left ventricular dysfunction monitoring verbal invite
  • Legal physical restraint performed
  • Level of physical activity unknown
  • Life crisis
  • Limited access to community support services
  • Lipid lowering medication not prescribed
  • Lipid lowering therapy indicated
  • Liver transplant planned
  • Lives in a nursing home
  • Lives in staffed home
  • Lives in supported home
  • Long term custodial care facility patient
  • Looks after someone
  • Lost to follow-up
  • Lung function testing done
  • Lung transplant planned
  • Lung volume test done
  • Luteinizing hormone and follicle stimulating hormone checked
  • M.E.Association member
  • Mammography offered
  • Manic-depression association member
  • Mantoux test done
  • Marital reconciliation
  • Marital status of parents
  • Marital status of parents
  • Maternal postnatal examination not offered
  • Maternal postnatal examination offered
  • Maternal request for obstetric intervention
  • Meals on wheels
  • Measured for graduated compression hosiery
  • Measurement procedure result absent
  • Measurement procedure result present
  • Medical discharge from forces
  • Medical social worker involved
  • Medically unfit for service
  • Medication active ingredient availability increased due to interaction
  • Medication administered too rapidly
  • Medication care plan discussed with patient
  • Medication care plan discussed with primary care provider
  • Medication care plan sent to dispensing pharmacist
  • Medication care plan sent to hospital pharmacist
  • Medication care plan sent to infusion pharmacist
  • Medication care plan sent to patient
  • Medication care plan sent to primary care provider
  • Medication care plan sent to receiving provider
  • Medication changed to brand equivalent
  • Medication changed to lower cost generic equivalent
  • Medication changed to lower cost therapeutic equivalent
  • Medication changed to multiple active ingredient medication
  • Medication changed to therapeutic equivalent
  • Medication changed to therapeutic equivalent
  • Medication changed to therapeutic equivalent not on formulary
  • Medication commenced
  • Medication decreased
  • Medication dosage increase declined
  • Medication dosage interval too long
  • Medication dosage interval too short
  • Medication dose changed
  • Medication dose decreased
  • Medication dose decreased by tapering
  • Medication dose too high
  • Medication dose too high based on hepatic function
  • Medication dose too high based on pharmacogenetic finding
  • Medication dose too high based on renal function
  • Medication dose too low
  • Medication dose too low based on pharmacogenetic finding
  • Medication increased
  • Medication list absent
  • Medication list inaccurate
  • Medication not available
  • Medication not available
  • Medication not obtained
  • Medication prescription not provided at discharge
  • Medication quantity changed to three month supply
  • Medication reminder chart given
  • Medication review done
  • Medication review done by community pharmacist
  • Medication review done by doctor
  • Medication review done by nurse
  • Medication review done by pharmacist
  • Medication review done by pharmacy technician
  • Medication review due
  • Medication serum levels within reference range
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent
  • Medication therapy management information sent to primary care pharmacist
  • Medicine labeling inadequate
  • Medicine labeling large print required
  • Meeting and conference status
  • Meeting and conference status
  • Meets eligibility criteria for breast conservation surgery
  • Member of self-help group
  • Midwife attends
  • Midwife attends 1-10 days post-discharge
  • Midwife attends 11-13 days post-discharge
  • Midwife attends 14-16 days post-discharge
  • Midwife attends 17-20 days post-discharge
  • Midwife attends 21-24 days post-discharge
  • Midwife attends 25-28 days post-discharge
  • Misleading historian
  • Misuse of analgesic
  • Monitoring of all medication checked
  • Monitoring of laboratory results started
  • Monitoring of physiological parameters started
  • Mother remarried
  • Motivated to preserve dentition
  • Multidisciplinary team falls assessment done
  • Musculoskeletal test done
  • Nasopharyngeal swab for virology received
  • Need assistance obtaining assistive device
  • Need for interpreter
  • Needs assistance with communication
  • Needs assistance with community resources
  • Neuroleptic medication due
  • Neurological diagnostic procedure - done
  • Neurological disorder treatment changed
  • Neurological disorder treatment started
  • Neurology domiciliary visit done
  • Neurology domiciliary visit requested
  • Neurosurgical domiciliary visit done
  • Neurosurgical domiciliary visit requested
  • New medication added
  • New medication commenced
  • New patient questionnaire completed
  • New patient screening done
  • New patient screening requested
  • New patient screening status
  • Nicotine replacement therapy
  • Nitrate indicated
  • No chemotherapy AND/OR radiation therapy prior to lymphadenectomy
  • No contraceptive precautions
  • No cost effective drug alternatives available
  • No desire to become pregnant
  • No drug therapy prescribed
  • No follow-up arranged
  • No help available from lay carer
  • No immunization history record
  • No lymph node submitted
  • No mechanism for timely refill
  • No postnatal care
  • No tissue received
  • Non-shockable heart rhythm detected by automated external defibrillator
  • Nonsurgical biopsy done
  • Not proficient in English
  • Not registered child surveillance
  • Not sure of desire to become pregnant
  • Novel oral anticoagulant indicated
  • Nurse chaperone
  • Nurse: referred to
  • Nutritional assessment completed
  • O/E - evidence of cessation of drugs
  • O/E - footwear
  • O/E - inappropriate footwear
  • Obesity monitoring check done
  • Obesity monitoring default
  • Obstetric D.V. done
  • Obstetric domiciliary visit requested
  • Obstetric ultrasonography not offered
  • Offered child surveillance
  • On anti-dementia drug therapy
  • On combination antipsychotic drug therapy
  • On leave from work
  • On psychotropic medication
  • On repeat dispensing system
  • On sick leave from work
  • Oncology domiciliary visit done
  • Oncology domiciliary visit requested
  • Operation on brain planned
  • Operation on cataract planned
  • Operation on eye planned
  • Operation on knee planned
  • Operation on nose planned
  • Operation on spine planned
  • Operative procedure planned
  • Ophthalmological treatment changed
  • Ophthalmological treatment started
  • Ophthalmology domiciliary visit done
  • Ophthalmology domiciliary visit requested
  • Optimal cytoreduction requiring multiple radical procedures
  • Oral contraceptive restarted
  • Oral fluid offered
  • Oral steroids started
  • Oral surgery domiciliary visit done
  • Oral surgery domiciliary visit requested
  • Orthopedic domiciliary visit done
  • Orthopedic domiciliary visit requested
  • Orthopedic operation planned
  • Osteoporosis risk assessment done
  • Osteoporosis treatment changed
  • Osteoporosis treatment started
  • Ostomy treatment changed
  • Ostomy treatment started
  • OTC sale
  • Overconsumption of milk in childhood
  • Parent unemployed
  • Parenteral nutrition administration method inappropriate
  • Parenting education not offered
  • Parkinson's Society member
  • Partner sterilized
  • Pathology specimen submitted
  • Patient advised about driving
  • Patient advised medication may affect driving
  • Patient asked to attend
  • Patient asked to make an appointment
  • Patient aware of carer's feelings about dying
  • Patient came for second opinion
  • Patient condition undetermined
  • Patient data refused
  • Patient declined clinical trial
  • Patient declines copy of referral letter
  • Patient dissatisfied with nutrition regime
  • Patient does not understand why taking all medication
  • Patient entered into trial
  • Patient has no referring provider
  • Patient in asthma study
  • Patient in heart disease study
  • Patient in heart study
  • Patient in hospital
  • Patient in institution temporarily
  • Patient in local study
  • Patient information status
  • Patient left unattended
  • Patient lost or discarded written information
  • Patient medical record not available
  • Patient misunderstood treatment instructions
  • Patient new to facility
  • Patient new to provider
  • Patient not aware of diagnosis
  • Patient not understood
  • Patient notified
  • Patient on maximal tolerated angiotensin converting enzyme inhibitor therapy
  • Patient on maximal tolerated angiotensin II receptor antagonist therapy
  • Patient on maximal tolerated anticonvulsant therapy
  • Patient on maximal tolerated antihypertensive therapy
  • Patient on maximal tolerated beta blocker therapy
  • Patient on maximal tolerated lipid lowering therapy
  • Patient on maximal tolerated therapy for diabetes
  • Patient on maximum tolerated dose
  • Patient on self-medication
  • Patient participation status
  • Patient regularly seeks multiple medical opinions
  • Patient reported problems
  • Patient request second opinion by consultant
  • Patient requested procedure
  • Patient requested procedure
  • Patient requests a hospital referral
  • Patient requests alternative treatment
  • Patient requests another opinion after seeing consultant
  • Patient requests non-blood medical management
  • Patient requires hospitalization
  • Patient temporarily left
  • Patient temporarily left
  • Patient themselves providing care
  • Patient treated with OTC medication
  • Patient unable to contact provider office
  • Patient unable to read medication label
  • Patient unable to to obtain copy of document
  • Patient unhappy with medication regime
  • Patient withdrawn from trial
  • Pediatric domiciliary visit done
  • Pediatric domiciliary visit requested
  • Pediatric surgery domiciliary visit requested
  • Pediatric surgical domiciliary visit done
  • Person notified
  • Personal administration
  • Physical tolerance to drug
  • Physician notified
  • Placebo given
  • Plain X-ray result not back
  • Planned admission
  • Planned food restriction
  • Planned telephone contact
  • Planned tracheostomy
  • Plastic surgery domiciliary visit done
  • Plastic surgery domiciliary visit requested
  • Poor historian
  • Postnatal Anti-D prophylaxis offered
  • Postnatal Anti-D prophylaxis status
  • Practice leaflet sent
  • Practitioner presence
  • Pre-existing therapy altered by anesthetist preoperatively
  • Preferred place of death discussed with partner in relationship
  • Preferred place of death discussed with patient
  • Pre-hospital care
  • Prelymphadenectomy treatment unknown
  • Prenatal finding
  • Prescribing observations
  • Prescribing observations
  • Prescribing observations
  • Prescription by another organization
  • Prescription by GP
  • Prescription by herbalist
  • Prescription by nurse
  • Prescription by nurse practitioner
  • Prescription collected
  • Prescription collected by colleague
  • Prescription collected by family member
  • Prescription collected by neighbor
  • Prescription collected by patient
  • Prescription collected by pharmacy
  • Prescription given no examination of patient
  • Prescription issued for patient on vacation
  • Prescription of anticipatory care medication not appropriate
  • Presence of chaperone
  • Presence of chaperone
  • Presence of chaperone
  • Presence of chaperone
  • Previous treatment continue
  • Previous treatment repeat
  • Previously initiated dental therapy completed
  • Previously initiated endodontic therapy completed
  • Primary care appointment not available
  • Primary health care team falls assessment done
  • Private prescription
  • Problem identified with patient consent
  • Problem with immobilizing cast
  • Problem with plaster of Paris cast
  • Procedure carried out at different service or facility
  • Procedure discontinued
  • Procedure needed
  • Procedure organized
  • Procedure organized
  • Procedure requested
  • Procedure rescheduled
  • Procedure started
  • Procedure status unknown
  • Procedure stopped
  • Prophylactic anticoagulation given
  • Prophylactic aromatase inhibitors given
  • Prophylactic chemotherapy given
  • Prostate cancer care review done
  • Prostatectomy planned
  • Psychiatric domiciliary visit requested
  • Psychiatric treatment changed
  • Psychiatric treatment started
  • Psychiatry domiciliary visit done
  • Psychogeriatric domiciliary visit done
  • Psychogeriatrics domiciliary visit requested
  • Psychological tolerance to drug
  • Pulmonary rehabilitation program commenced
  • Quality of construction of footwear - finding
  • Quality of life assessment completed
  • Radiographic imaging procedure carried out
  • Radiographic imaging procedure carried out
  • Radiographic imaging procedure requested
  • Radiographic imaging procedure result not back
  • Radiotherapy changed
  • Radiotherapy procedure with explicit context
  • Rapid referral from minor ailments clinic
  • Ready for enhanced immunization status
  • Ready for enhanced management of therapeutic regimen
  • Ready for positive enhanced fluid balance
  • Reason for referral delay
  • Reason for referral delay
  • Reason for referral delay
  • Reason for referral delay
  • Reason for referral delay
  • Recall arranged
  • Recent asthma management
  • Recent cruise travel
  • Recommendation refused by prescriber
  • Recommendations refused
  • Reduction program status
  • Reduction program status
  • Referral delay - clinic full
  • Referral delay - clinic session cancelation
  • Referral delay - failed re-booking
  • Referral delay - lost referral
  • Referral delay - not received within 24 hours
  • Referral needed
  • Referral placed
  • Referral to cardiac rehabilitation program not indicated
  • Referral to heart failure exercise program not indicated
  • Referred by care coordinator
  • Referred by care home
  • Referred by case manager
  • Referred by community doctor
  • Referred by dentist
  • Referred by dietician
  • Referred by Drop-in or Walk-in center
  • Referred by emergency department nurse practitioner
  • Referred by emergency department physician
  • Referred by emergency department physician assistant
  • Referred by establishment
  • Referred by family
  • Referred by health care professional
  • Referred by hospital doctor
  • Referred by member of Primary Health Care Team
  • Referred by midwife
  • Referred by nurse
  • Referred by nurse practitioner
  • Referred by nutritionist
  • Referred by optician
  • Referred by payer
  • Referred by person
  • Referred by pharmacist
  • Referred by physician
  • Referred by physician assistant
  • Referred by physiotherapist
  • Referred by primary care physician
  • Referred by social worker
  • Referred by specialist physician
  • Referred by work place
  • Referred for exercise program
  • Referred for medication therapy management
  • Referred for radiotherapy
  • Referred for wheelchair assessment
  • Referred to anesthetist
  • Referred to chest physician
  • Referred to dentist
  • Referred to doctor
  • Referred to endocrinologist
  • Referred to hematologist
  • Referred to midwife
  • Referred to nephrologist
  • Referred to person
  • Referred to plastic surgeon
  • Referred to service
  • Referred to social services for adult protection
  • Referred to thoracic surgeon
  • Referred to vascular surgeon
  • Referred to venereologist
  • Refused consent for upload to local shared electronic record
  • Refused consent for upload to national shared electronic record
  • Registered child surveillance
  • Registered in deprived area
  • Registered in deprived area - high
  • Registered in deprived area - low
  • Registered in deprived area - medium
  • Regular monitoring discussed with patient
  • Relatives unable to care for patient
  • Reliable screening not possible due to prematurity of subject
  • Relief staff member not available
  • Religion not given - patient refused
  • Religious belief and healthcare recommendation conflict
  • Removed child surveillance
  • Removed from depression register
  • Removed from severe mental illness register
  • Renal transplant planned
  • Renal/urological operation planned
  • Repeat laboratory specimen sent
  • Replacement therapy
  • Requesting leave from work
  • Requesting maternity leave
  • Requests active euthanasia
  • Requests euthanasia
  • Requires communication partner
  • Requires referral to coroner at time of death
  • Requires telephone language interpreter service
  • Respiratory disease treatment started
  • Respiratory flow rate measured
  • Respiratory monitoring not required
  • Respiratory treatment changed
  • Response to treatment
  • Retinopathy follow up
  • Retinopathy follow up
  • Reversal of opiate activity
  • Reverse tolerance to drug
  • Review of advance care plan offered
  • Rheumatology disorder treatment changed
  • Rheumatology disorder treatment started
  • Rheumatology domiciliary visit done
  • Rheumatology domiciliary visit requested
  • Risk assessment done
  • Risk assessment status
  • Role-related finding
  • Role-related finding
  • Role-related finding
  • Rubella screening not offered
  • Rubella screening offered
  • Rubella screening status
  • Rubella screening status
  • Rubella screening wanted
  • Safety behavior observation
  • Sample not obtained
  • Sample obtained
  • Sample of medication administered
  • Sample sent for examination
  • Schizophrenia association member
  • Screening for dysphagia performed
  • Screening not offered
  • Screening offered
  • Screening status unknown
  • Screening wanted
  • Seen at doctors house
  • Seen by Accident and Emergency doctor
  • Seen by acupuncturist
  • Seen by acute healthcare service
  • Seen by adult intensive care service
  • Seen by adult intensive care specialist
  • Seen by agency nurse
  • Seen by ambulance crew
  • Seen by anesthetic service
  • Seen by anesthetist
  • Seen by art therapist
  • Seen by art therapy service
  • Seen by arts therapist
  • Seen by arts therapy service
  • Seen by audiological physician
  • Seen by audiologist
  • Seen by audiology service
  • Seen by audiology technician
  • Seen by bariatric physician
  • Seen by bereavement counselor
  • Seen by blood transfusion doctor
  • Seen by blood transfusion service
  • Seen by breast cancer nurse
  • Seen by breast care nurse
  • Seen by breast screening service
  • Seen by breast surgeon
  • Seen by breast surgery service
  • Seen by cardiac pacemaker technician
  • Seen by cardiac rehabilitation nurse
  • Seen by cardiac surgeon
  • Seen by cardiac surgery service
  • Seen by cardiologist
  • Seen by cardiology service
  • Seen by cardiothoracic surgeon
  • Seen by cardiothoracic surgery service
  • Seen by care of the elderly physician
  • Seen by care of the elderly service
  • Seen by chemical pathologist
  • Seen by chemical pathology service
  • Seen by chest medicine service
  • Seen by chest physician
  • Seen by child and adolescent psychiatrist
  • Seen by child and adolescent psychiatry service
  • Seen by child and adolescent psychologist
  • Seen by chiropractor
  • Seen by clinical allergist
  • Seen by clinical allergy service
  • Seen by clinical biochemistry service
  • Seen by clinical cytogeneticist
  • Seen by clinical cytogenetics service
  • Seen by clinical geneticist
  • Seen by clinical genetics service
  • Seen by clinical hematologist
  • Seen by clinical immunologist
  • Seen by clinical immunology service
  • Seen by clinical molecular geneticist
  • Seen by clinical molecular genetics service
  • Seen by clinical neurophysiologist
  • Seen by clinical neurophysiology service
  • Seen by clinical nurse specialist
  • Seen by clinical oncologist
  • Seen by clinical oncology service
  • Seen by clinical pharmacologist
  • Seen by clinical pharmacology service
  • Seen by clinical physiologist
  • Seen by clinical physiology service
  • Seen by clinical psychologist
  • Seen by colorectal surgeon
  • Seen by colorectal surgery service
  • Seen by community heart failure nurse
  • Seen by community pediatric nurse
  • Seen by community psychiatric nurse
  • Seen by community-based dietitian
  • Seen by community-based midwife
  • Seen by community-based nurse
  • Seen by community-based occupational therapist
  • Seen by community-based occupational therapy service
  • Seen by community-based physiotherapist
  • Seen by community-based physiotherapy service
  • Seen by community-based podiatrist
  • Seen by community-based podiatry service
  • Seen by community-based speech and language therapist
  • Seen by community-based speech and language therapy service
  • Seen by company nurse
  • Seen by complementary therapist
  • Seen by computerized tomography service
  • Seen by consultant
  • Seen by contact tracing nurse
  • Seen by continence nurse
  • Seen by co-operative doctor
  • Seen by counselor
  • Seen by dance therapist
  • Seen by dance therapy service
  • Seen by dental surgeon
  • Seen by dental surgery service
  • Seen by deputizing doctor
  • Seen by dermatologist
  • Seen by dermatology service
  • Seen by diabetes specialist nurse
  • Seen by diabetic liaison nurse
  • Seen by diabetologist
  • Seen by diagnostic radiographer
  • Seen by dietitian
  • Seen by district nurse
  • Seen by drama therapist
  • Seen by drama therapy service
  • Seen by ear, nose and throat service
  • Seen by ear, nose and throat surgeon
  • Seen by endocrine surgery service
  • Seen by endocrinologist
  • Seen by endocrinology service
  • Seen by endocrinology surgeon
  • Seen by family planning doctor
  • Seen by family planning service
  • Seen by family therapist
  • Seen by forensic psychiatrist
  • Seen by forensic psychiatry service
  • Seen by gastroenterologist
  • Seen by gastroenterology service
  • Seen by gastrointestinal surgeon
  • Seen by gastrointestinal surgery service
  • Seen by general dental surgeon
  • Seen by general dental surgery service
  • Seen by general gastrointestinal surgeon
  • Seen by general gastrointestinal surgery service
  • Seen by general medical service
  • Seen by general pathologist
  • Seen by general pathology service
  • Seen by general physician
  • Seen by general practitioner
  • Seen by general surgeon
  • Seen by general surgery service
  • Seen by genetic counselor
  • Seen by geneticist
  • Seen by genetics service
  • Seen by genitourinary medicine physician
  • Seen by genitourinary medicine service
  • Seen by genitourinary nurse
  • Seen by GP registrar
  • Seen by gynecologist
  • Seen by gynecology service
  • Seen by hand surgeon
  • Seen by hand surgery service
  • Seen by health carer
  • Seen by health coach
  • Seen by health professional
  • Seen by health support worker
  • Seen by hematologist
  • Seen by hematology service
  • Seen by hepatobiliary surgeon
  • Seen by hepatobiliary surgery service
  • Seen by herbalist
  • Seen by homeopath
  • Seen by hospital base speech and language therapy service
  • Seen by hospital midwife
  • Seen by hospital nurse
  • Seen by hospital-based dietitian
  • Seen by hospital-based midwife
  • Seen by hospital-based occupational therapist
  • Seen by hospital-based occupational therapy service
  • Seen by hospital-based physiotherapist
  • Seen by hospital-based physiotherapy service
  • Seen by hospital-based podiatrist
  • Seen by hospital-based podiatry service
  • Seen by hospital-based speech and language therapist
  • Seen by house-man
  • Seen by hypnotherapist
  • Seen by infectious diseases physician
  • Seen by infectious diseases service
  • Seen by intensive care service
  • Seen by intensive care specialist
  • Seen by interventional radiologist
  • Seen by learning disability team
  • Seen by liaison nurse
  • Seen by liaison psychiatrist
  • Seen by liaison psychiatry service
  • Seen by locum doctor
  • Seen by lymphedema care nurse
  • Seen by Macmillan nurse
  • Seen by magnetic resonance imaging service
  • Seen by Marie Curie nurse
  • Seen by marriage guidance counselor
  • Seen by medical microbiologist
  • Seen by medical microbiology service
  • Seen by medical oncologist
  • Seen by medical ophthalmologist
  • Seen by medical service
  • Seen by medical student
  • Seen by member of Primary Health Care Team
  • Seen by mental handicap psychiatry service
  • Seen by mental health counselor
  • Seen by midwife
  • Seen by music therapist
  • Seen by music therapy service
  • Seen by nephrologist
  • Seen by nephrology service
  • Seen by neurologist
  • Seen by neurology service
  • Seen by neuropathologist
  • Seen by neuropathology service
  • Seen by neurosurgeon
  • Seen by neurosurgery service
  • Seen by nuclear medicine physician
  • Seen by nuclear medicine service
  • Seen by nurse
  • Seen by nurse behavioral therapist
  • Seen by nurse practitioner
  • Seen by nurse psychotherapist
  • Seen by obstetrician
  • Seen by obstetrician and gynecologist
  • Seen by obstetrics and gynecology service
  • Seen by obstetrics service
  • Seen by occupational health physician
  • Seen by occupational health service
  • Seen by occupational therapist
  • Seen by occupational therapy service
  • Seen by oncology nurse
  • Seen by ophthalmologist
  • Seen by ophthalmology service
  • Seen by optometrist
  • Seen by optometry service
  • Seen by oral surgeon
  • Seen by oral surgery service
  • Seen by orthodontics service
  • Seen by orthodontist
  • Seen by orthopedic service
  • Seen by orthopedic surgeon
  • Seen by orthoptics service
  • Seen by orthoptist
  • Seen by orthotics service
  • Seen by orthotist
  • Seen by osteopath
  • Seen by outreach nurse
  • Seen by own GP
  • Seen by pain management nurse
  • Seen by pain management service
  • Seen by pain management specialist
  • Seen by pancreatic surgeon
  • Seen by pancreatic surgery service
  • Seen by partner of GP
  • Seen by pathologist
  • Seen by pathology service
  • Seen by pediatric dentist
  • Seen by pediatric dentistry service
  • Seen by pediatric intensive care service
  • Seen by pediatric intensive care specialist
  • Seen by pediatric neurology service
  • Seen by pediatric nurse
  • Seen by pediatric oncology service
  • Seen by pediatric service
  • Seen by pediatric surgeon
  • Seen by pediatric surgery service
  • Seen by person
  • Seen by pharmacist
  • Seen by physician
  • Seen by physiotherapist
  • Seen by physiotherapy service
  • Seen by plastic surgeon
  • Seen by plastic surgery service
  • Seen by play therapist
  • Seen by play therapy service
  • Seen by podiatric surgeon
  • Seen by podiatrist
  • Seen by podiatry service
  • Seen by practice nurse
  • Seen by practice phlebotomist
  • Seen by pregnancy termination service
  • Seen by primary care physician
  • Seen by professional
  • Seen by professional allied to medicine
  • Seen by professional allied to medicine service
  • Seen by psychiatric nurse
  • Seen by psychiatrist
  • Seen by psychiatrist for mental handicap
  • Seen by psychiatry service
  • Seen by psychogeriatric service
  • Seen by psychogeriatrician
  • Seen by psychologist
  • Seen by psychotherapist
  • Seen by psychotherapy service
  • Seen by public health physician
  • Seen by public health service
  • Seen by radiographer
  • Seen by radiologist
  • Seen by radiology service
  • Seen by radiotherapist
  • Seen by radiotherapy service
  • Seen by receptionist
  • Seen by registrar
  • Seen by rehabilitation physician
  • Seen by rehabilitation psychiatrist
  • Seen by rehabilitation psychiatry service
  • Seen by rehabilitation service
  • Seen by research nurse
  • Seen by respiratory medicine service
  • Seen by respiratory physician
  • Seen by restorative dentist
  • Seen by restorative dentistry service
  • Seen by retinal screener
  • Seen by rheumatologist
  • Seen by rheumatology nurse specialist
  • Seen by rheumatology service
  • Seen by Rota Doctor
  • Seen by school nurse
  • Seen by service
  • Seen by service for young disabled people
  • Seen by smoking cessation advisor
  • Seen by social services
  • Seen by social services department care manager
  • Seen by social services department duty staff
  • Seen by social services department occupational therapist
  • Seen by social worker
  • Seen by special care baby service
  • Seen by specialist physician
  • Seen by speech and language therapist
  • Seen by speech and language therapy service
  • Seen by spinal surgery service
  • Seen by stoma nurse
  • Seen by stroke service
  • Seen by surgeon
  • Seen by surgical fitter
  • Seen by surgical fitting service
  • Seen by surgical service
  • Seen by therapeutic radiographer
  • Seen by thoracic medicine service
  • Seen by thoracic physician
  • Seen by thoracic surgeon
  • Seen by thoracic surgery service
  • Seen by tissue viability nurse specialist
  • Seen by trainee doctor
  • Seen by transplant surgeon
  • Seen by transplant surgery service
  • Seen by trauma service
  • Seen by trauma surgeon
  • Seen by triage nurse
  • Seen by ultrasonography service
  • Seen by upper gastrointestinal surgeon
  • Seen by upper gastrointestinal surgery service
  • Seen by urologist
  • Seen by urology service
  • Seen by vascular surgeon
  • Seen by vascular surgery service
  • Seen child psychology clinic
  • Seen in antenatal clinic
  • Seen in asthma clinic
  • Seen in audiology clinic
  • Seen in baby clinic
  • Seen in bariatric surgery clinic
  • Seen in breast clinic
  • Seen in burn clinic
  • Seen in cardiac clinic
  • Seen in cardiothoracic surgery clinic
  • Seen in care of the elderly day hospital
  • Seen in chemical pathology department
  • Seen in chest clinic
  • Seen in child and adolescent psychiatry clinic
  • Seen in child orthopedic clinic
  • Seen in chiropody clinic
  • Seen in cholesterol clinic
  • Seen in clinic
  • Seen in colorectal clinic
  • Seen in colposcopy clinic
  • Seen in community anticoagulation clinic
  • Seen in community diabetes specialist clinic
  • Seen in community diabetic specialist nurse clinic
  • Seen in community pediatric clinic
  • Seen in community respiratory clinic
  • Seen in cystic fibrosis clinic
  • Seen in day hospital
  • Seen in department
  • Seen in dermatology clinic
  • Seen in developmental clinic
  • Seen in diabetic clinic
  • Seen in diabetic eye clinic
  • Seen in diabetic foot clinic
  • Seen in diabetic nurse consultant clinic
  • Seen in dietician clinic
  • Seen in drug misuse clinic
  • Seen in drug rehabilitation center
  • Seen in early pregnancy assessment unit
  • Seen in eating disorder clinic
  • Seen in elderly assessment clinic
  • Seen in elderly mentally infirm home
  • Seen in emergency clinic
  • Seen in EMG clinic
  • Seen in endocrine clinic
  • Seen in ENT clinic
  • Seen in epilepsy clinic
  • Seen in establishment
  • Seen in family planning clinic
  • Seen in fertility clinic
  • Seen in fetal medicine clinic
  • Seen in fracture clinic
  • Seen in gastroenterology clinic
  • Seen in gastroscopy clinic
  • Seen in general medical clinic
  • Seen in general surgery clinic
  • Seen in genetic clinic
  • Seen in geriatric clinic
  • Seen in GP's surgery
  • Seen in GU medicine clinic
  • Seen in gynecology clinic
  • Seen in Health Center
  • Seen in hearing aid clinic
  • Seen in heart failure clinic
  • Seen in hematology clinic
  • Seen in homeopathy clinic
  • Seen in hospice
  • Seen in hospital anticoagulation clinic
  • Seen in hospital casualty
  • Seen in hospital outpatient department
  • Seen in hospital ward
  • Seen in institution
  • Seen in lipid clinic
  • Seen in liver clinic
  • Seen in memory clinic
  • Seen in mental health clinic
  • Seen in microbiology department
  • Seen in musculoskeletal clinic
  • Seen in nephrology clinic
  • Seen in neurology clinic
  • Seen in neurosurgery clinic
  • Seen in nuclear medicine clinic
  • Seen in nursing home
  • Seen in old people's home
  • Seen in oncology clinic
  • Seen in open access nurse clinic
  • Seen in open access surgery
  • Seen in ophthalmology clinic
  • Seen in oral surgery clinic
  • Seen in orthodontic clinic
  • Seen in orthopedic clinic
  • Seen in osteoporosis clinic
  • Seen in own home
  • Seen in pain clinic
  • Seen in pathology department
  • Seen in pediatric clinic
  • Seen in pediatric endocrinology clinic
  • Seen in pediatric surgery clinic
  • Seen in physiotherapy department
  • Seen in plastic surgery clinic
  • Seen in postnatal clinic
  • Seen in primary care center
  • Seen in primary care establishment
  • Seen in primary health care clinic
  • Seen in private clinic
  • Seen in prostate clinic
  • Seen in psychiatry clinic
  • Seen in psychiatry day hospital
  • Seen in psychogeriatric clinic
  • Seen in psychogeriatric day hospital
  • Seen in psychology clinic
  • Seen in radiology department
  • Seen in radiotherapy clinic
  • Seen in rapid access chest pain clinic
  • Seen in recreation place
  • Seen in rehabilitation clinic
  • Seen in respiratory clinic
  • Seen in rheumatology clinic
  • Seen in sickle cell and thalassemia clinic
  • Seen in sleep clinic
  • Seen in social services occupational therapy service
  • Seen in speech and language clinic
  • Seen in supervised accommodation
  • Seen in thoracic surgery clinic
  • Seen in urogynecology clinic
  • Seen in urology clinic
  • Seen in varicose vein clinic
  • Seen in vascular clinic
  • Seen in warden-supervised flat
  • Seen in warden-supervised home
  • Seen in warden-supervised house
  • Seen in weight management clinic
  • Seen in well child clinic
  • Seen in well person clinic
  • Seen in work place
  • Seen in young person clinic
  • Seen on arrival
  • Sees or has seen dietician
  • Seizure emergency action plan completed
  • Selective estrogen receptor modulator given
  • Self management of mental health problems
  • Self-help advice leaflet given
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Self-help group membership - finding
  • Semen analysis due
  • Sexual behavior unknown
  • Shared care - consultant and GP
  • Shared care - hospice and GP
  • Shared care prescribing
  • Shared care prescribing declined
  • Shared care prescribing of drug for dementia
  • Shared care prescribing referred back to hospital
  • Shared care: district nurse and GP
  • Shared care: practice nurse and GP
  • Shuttle walking test done
  • Skin disorder treatment changed
  • Skin disorder treatment started
  • Sleep rest pattern finding
  • Sleep rest pattern finding
  • Smoking monitoring status
  • Smoking monitoring status
  • Smoking monitoring status
  • Social worker involved
  • Soft tissue X-ray result not back
  • Special cardiovascular system test done
  • Special examination arranged
  • Special female test done
  • Special GIT test done
  • Special male test done
  • Special urinary test done
  • Specimen received
  • Specimen received in laboratory
  • Specimen unsatisfactory for evaluation
  • Spouse of subject is victim of crime
  • Spouse works away from home
  • Staff member distraction
  • Staff member fatigued
  • Staff member ill
  • Staff member inadequately assisted
  • Staff member inadequately supervised
  • Staff member inattention
  • Stairs in house
  • Stop smoking monitor default
  • Stop smoking monitoring check done
  • Strait jacket placed for legal restraint
  • Stress monitoring check done
  • Stress monitoring default
  • Stress monitoring status
  • Stress monitoring status
  • Stress monitoring status
  • Stroke / transient ischemic attack referral
  • Stroke group member
  • Stroke/transient ischemic attack monitoring first letter
  • Stroke/transient ischemic attack monitoring invitation
  • Stroke/transient ischemic attack monitoring second letter
  • Stroke/transient ischemic attack monitoring status
  • Stroke/transient ischemic attack monitoring status
  • Stroke/transient ischemic attack monitoring status
  • Stroke/transient ischemic attack monitoring status
  • Stroke/transient ischemic attack monitoring status
  • Stroke/transient ischemic attack monitoring third letter
  • Stroke/transient ischemic attack monitoring verbal invitation
  • Subcutaneous contraceptive implant leaflet given
  • Subject age above range for reliable interpretation of evaluation
  • Subject age below range for reliable interpretation of evaluation
  • Subject in clinical trial unable to be contacted
  • Subject requests referral
  • Susceptibility skin test done
  • Syringe driver commenced
  • Systemic corticosteroid not prescribed
  • Taking medication for chronic disease
  • Taking one medication for chronic disease
  • Talks about problem
  • Taught self-catheterization
  • Telehealth monitoring suspended
  • Temporarily housebound
  • Thyroid disease treatment changed
  • Thyroid disease treatment started
  • Thyroxine treatment started
  • Tolerated challenge
  • Tolerated rechallenge
  • Tonsillectomy planned
  • Transfer status
  • Transferred from department
  • Transfusion center ref. no.
  • Transient patient:no follow-up
  • Transition from acute care to self-care
  • Transition from home-health care to self-care
  • Transition from hospice to self-care
  • Transition from long term care to self-care
  • Transition from self-care to acute care
  • Transition from self-care to home-health care
  • Transition from self-care to hospice
  • Transition from self-care to long term care
  • Transition of care from acute care to emergency department
  • Transition of care from emergency department to acute care
  • Transition of care from emergency department to home-health
  • Transition of care from emergency department to hospice
  • Transition of care from emergency department to long term care
  • Transition of care from emergency department to self-care
  • Transition of care from home health to emergency department
  • Transition of care from hospice to emergency department
  • Transition of care from long term care to emergency department
  • Transition of care from self-care to emergency department
  • Transition of diabetes care options discussed
  • Transport distance too great
  • Transport problems
  • Transport too expensive
  • Transportation barrier impedes ability to use community resources
  • Transported by orthopedic stretcher
  • Travel
  • Treatment adjusted per order
  • Treatment adjusted per protocol
  • Treatment changed
  • Treatment completed
  • Treatment dose changed
  • Treatment given
  • Treatment of obesity changed
  • Treatment of obesity started
  • Treatment plan given
  • Triple test not offered
  • Triple test offered
  • Triple test wanted
  • Tuberculosis prophylaxis started
  • Unable to adopt sick role
  • Unable to afford medication
  • Unable to agree with care plan
  • Unable to care for sick parent
  • Unable to communicate concern to community service provider
  • Unable to use communication device to communicate with community resources
  • Unable to use medication
  • Unavailable community resources
  • Undeclared drug therapy
  • Under care of Accident and Emergency doctor
  • Under care of acupuncturist
  • Under care of adult care service
  • Under care of adult intensive care specialist
  • Under care of agency nurse
  • Under care of anesthetist
  • Under care of art therapist
  • Under care of arts therapist
  • Under care of asthma specialist nurse
  • Under care of audiological physician
  • Under care of audiologist
  • Under care of audiology technician
  • Under care of bereavement counselor
  • Under care of blood transfusion doctor
  • Under care of breast care nurse
  • Under care of breast surgeon
  • Under care of cardiac rehabilitation nurse
  • Under care of cardiac surgeon
  • Under care of cardiologist
  • Under care of cardiothoracic surgeon
  • Under care of care of the elderly physician
  • Under care of case manager
  • Under care of chemical pathologist
  • Under care of chest physician
  • Under care of child and adolescent psychiatrist
  • Under care of chiropractor
  • Under care of clinical allergist
  • Under care of clinical cytogeneticist
  • Under care of clinical geneticist
  • Under care of clinical hematologist
  • Under care of clinical immunologist
  • Under care of clinical molecular geneticist
  • Under care of clinical neurophysiologist
  • Under care of clinical nurse specialist
  • Under care of clinical oncologist
  • Under care of clinical pharmacologist
  • Under care of clinical physiologist
  • Under care of colorectal surgeon
  • Under care of community alcohol team
  • Under care of community drug team
  • Under care of community pediatrician
  • Under care of community psychiatric nurse
  • Under care of community-based dietitian
  • Under care of community-based midwife
  • Under care of community-based nurse
  • Under care of community-based occupational therapist
  • Under care of community-based physiotherapist
  • Under care of community-based podiatrist
  • Under care of community-based speech and language therapist
  • Under care of company nurse
  • Under care of complementary therapist
  • Under care of contact tracing nurse
  • Under care of continence nurse
  • Under care of counselor
  • Under care of dance therapist
  • Under care of dental surgeon
  • Under care of dermatologist
  • Under care of diabetes specialist nurse
  • Under care of diabetic foot screener
  • Under care of diabetic liaison nurse
  • Under care of diabetologist
  • Under care of dietitian
  • Under care of district nurse
  • Under care of doctor
  • Under care of drama therapist
  • Under care of drug misuse service
  • Under care of dyspepsia specialist nurse
  • Under care of ear, nose and throat surgeon
  • Under care of endocrine surgeon
  • Under care of endocrinologist
  • Under care of family planning doctor
  • Under care of forensic psychiatrist
  • Under care of gastroenterologist
  • Under care of gastrointestinal surgeon
  • Under care of general dental surgeon
  • Under care of general gastrointestinal surgeon
  • Under care of general pathologist
  • Under care of general physician
  • Under care of general surgeon
  • Under care of genetic counselor
  • Under care of geneticist
  • Under care of genitourinary medicine physician
  • Under care of genitourinary nurse
  • Under care of GP
  • Under care of GP partner
  • Under care of gynecologist
  • Under care of hand surgeon
  • Under care of hematologist
  • Under care of hepatobiliary surgeon
  • Under care of homeopath
  • Under care of hospital-based dietitian
  • Under care of hospital-based midwife
  • Under care of hospital-based occupational therapist
  • Under care of hospital-based physiotherapist
  • Under care of hospital-based podiatrist
  • Under care of hospital-based speech and language therapist
  • Under care of hypnotherapist
  • Under care of immunopathologist
  • Under care of infectious diseases physician
  • Under care of intensive care specialist
  • Under care of liaison nurse
  • Under care of liaison psychiatrist
  • Under care of lymphedema care nurse
  • Under care of Macmillan nurse
  • Under care of Marie Curie nurse
  • Under care of marriage guidance counselor
  • Under care of medical microbiologist
  • Under care of medical oncologist
  • Under care of medical ophthalmologist
  • Under care of mental health counselor
  • Under care of mental health team
  • Under care of midwife
  • Under care of music therapist
  • Under care of neonatologist
  • Under care of nephrologist
  • Under care of neurologist
  • Under care of neuropathologist
  • Under care of neurosurgeon
  • Under care of nuclear medicine physician
  • Under care of nurse
  • Under care of nurse behavioral therapist
  • Under care of nurse practitioner
  • Under care of nurse psychotherapist
  • Under care of obstetrician
  • Under care of obstetrician and gynecologist
  • Under care of occupational health physician
  • Under care of occupational therapist
  • Under care of oncology nurse
  • Under care of ophthalmologist
  • Under care of optometrist
  • Under care of orthodontist
  • Under care of orthopedic surgeon
  • Under care of orthoptist
  • Under care of orthotist
  • Under care of osteopath
  • Under care of outreach nurse
  • Under care of own GP
  • Under care of pain management nurse
  • Under care of pain management specialist
  • Under care of pancreatic surgeon
  • Under care of pathologist
  • Under care of pediatric dentist
  • Under care of pediatric dietitian
  • Under care of pediatric intensive care specialist
  • Under care of pediatric neurologist
  • Under care of pediatric nurse
  • Under care of pediatric oncologist
  • Under care of pediatric specialist nurse
  • Under care of pediatric surgeon
  • Under care of pediatrician
  • Under care of person
  • Under care of physiotherapist
  • Under care of plastic surgeon
  • Under care of play therapist
  • Under care of podiatric surgeon
  • Under care of podiatrist
  • Under care of practice nurse
  • Under care of prison service
  • Under care of professional allied to medicine
  • Under care of psychiatric nurse
  • Under care of psychiatrist
  • Under care of psychiatrist for mental handicap
  • Under care of psychogeriatrician
  • Under care of psychotherapist
  • Under care of public health physician
  • Under care of radiologist
  • Under care of radiologist and surgeon
  • Under care of radiotherapist
  • Under care of rehabilitation physician
  • Under care of rehabilitation psychiatrist
  • Under care of research nurse
  • Under care of respiratory physician
  • Under care of restorative dentist
  • Under care of retinal screener
  • Under care of rheumatologist
  • Under care of rheumatology nurse specialist
  • Under care of school nurse
  • Under care of service
  • Under care of social services department occupational therapist
  • Under care of speech and language therapist
  • Under care of stoma nurse
  • Under care of surgeon
  • Under care of surgical fitter
  • Under care of team
  • Under care of thoracic physician
  • Under care of thoracic surgeon
  • Under care of transplant surgeon
  • Under care of trauma surgeon
  • Under care of upper gastrointestinal surgeon
  • Under care of urologist
  • Under care of vascular surgeon
  • Under the care of psychologist
  • Unemployed father
  • Unevaluable reaction
  • Unfamiliar with process for obtaining community services
  • Unknown procedure
  • Unmet drug need identified
  • Unrealistic expectations regarding growth and development
  • Unsafe exercise area
  • Unsafe play area
  • Unsafe stairs in house
  • Unsuitable for advance care planning
  • Urinary disorder treatment changed
  • Urinary disorder treatment started
  • Urine sugar charts
  • Urine test due
  • Urological domiciliary visit done
  • Urological domiciliary visit requested
  • Uses multiple pharmacies
  • Uses sign language
  • Vaccination record unavailable
  • Vaginal estrogen ring therapy done
  • Vaginal vault smear due
  • Vagitus uterinus
  • Variance from care plan goal
  • Varicose vein operation planned
  • Videofluoroscopy swallow completed
  • Viral screening status
  • Wants to become pregnant
  • Warfarin dose changed
  • Warfarin indicated
  • Warfarin not prescribed
  • Warfarin therapy started
  • Wearing eye protection
  • Well adult monitoring check done
  • Well adult monitoring default
  • Well man monitoring check done
  • Well man monitoring status
  • Well man monitoring status
  • Well woman monitoring check done
  • Well woman monitoring default
  • Well woman monitoring status
  • Well woman monitoring status
  • Well woman monitoring status
  • Wheelchair applied for
  • Withdrawn from alcohol detoxification program
  • Wound drain discontinued

Index to Diseases and Injuries
References found for the code Z76.89 in the Index to Diseases and Injuries:


Tabular List of Diseases and Injuries
References found for the code Z76.89 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Persons encountering health services NOS

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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