DOI: 02/01/1990. The patient is a 75-year old male route sales employee who sustained a work-related injury to his back due to overexertion in lifting objects. As per OMNI, he was initially diagnosed with strain of the lower back and left hip. Controlled Substance Utilization Review and Evaluation System report on 10/6/2015 showed appropriate findings. Urine drug screen dated 10/13/2015 showed positive findings for methadone, Dilaudid, and oxazepam. Clinic Note dated 01/19/2016 revealed that the patient is scheduled for pain pump trial on 01/28/2016. He has no current infections. He has a pain contract signed on 01/19/2016. He reports his pain level is 9/10 without medications and 6/10 with medications. He has improved functioning and activities
