John Davis

 Riverbend Hospital 
 John Davis 
 29461 Singleton Extensions Suite 254
Toddview, MI 61558 
 MRN: 9730133, birthdate: 08-07-1984, Sex: F 
 Riverbend Hospital 
 NEW YORK NY 10021-4823 Adm: 11-06-2015, D/C: 11-07-2015 
 Consult to Pathology [91151051] 
 electronically signed by: Dr Laura Perez, MD on 06-11-2016 2114 
 Status: Completed 
 Mode: Ordering in Verbal with repeat back and verified 
 Communicated by: Sara Vargas 
 mode 
 Ordering user: Sara Vargas 17-12-2014 2017 
 Ordering provider: Dr Laura Perez, MD 
 Authorized by: Dr Laura Perez, MD 
 Frequency: Release Upon Ordering 18-11-2020 2017 - 1 occurrence 
 Components 
 Case Report
 Authorizing Provider: Blevins, Jason L, MD Collected: 10-05-2022 2016
 Clinical Information 
 Riverbend HospitalLab 
 Result: 
 Pre-Operative Diagnosis: 
 Atrial Fibrillation 
 Procedure: 
 REVISION TOTAL KNEE REPLACEMENT, BOTH COMPONENTS - Right 
 Post-Operative Diagnosis: 
 T84.84XD, Z96.651 - Pain due to total right knee replacement, subsequent encounter [ICD-10-CM] 
 Z96.651 - Status post total knee replacement, right [ICD-10-CM] 
 Final Diagnosis 
 Riverbend HospitalLab 
 Result: 1. JOINT, KNEE, RIGHT: 
