Paul Jacobs

 Golden Oaks Clinic 
 Paul Jacobs 
 7969 Kevin Village
Elizabethmouth, OH 06490 
 MRN: 7488630, birthdate: 09 Feb 1986, Sex: F 
 Golden Oaks Clinic 
 NEW YORK NY 10021-4823 Adm: 24 May 2016, D/C: 23 Jun 2016 
 Consult to Pathology [91825341] 
 SIGNATURE: Dr Carrie Alexander, MD on 27 Apr 2017 2114 
 Status: Completed 
 Mode: Ordering in Verbal with repeat back and verified 
 Communicated by: Michael Casey 
 mode 
 Ordering user: Michael Casey 28 Feb 2016 2017 
 Ordering provider: Dr Carrie Alexander, MD 
 Authorized by: Dr Carrie Alexander, MD 
 Frequency: Release Upon Ordering 02 Aug 2018 2017 - 1 occurrence 
 Components 
 Case Report
 Authorizing Provider: Blevins, Jason L, MD Collected: 14 Oct 2023 2016
 Clinical Information 
 Golden Oaks ClinicLab 
 Result: 
 Pre-Operative Diagnosis: 
 Ulcerative Colitis 
 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 
 Golden Oaks ClinicLab 
 Result: 1. JOINT, KNEE, RIGHT: 
