Initial Public Health Case Report
Eve Everywoman
Patient Identifiers
123453 Meaningless identifier, not to be used for any actual entities. Examples only.
111-00-1234 United States Social Security Number
About
Date of Birth
04/20/1990
Sex
Female
Race
White
Ethnicity
Hispanic or Latino
Contact
Home
2222 Home Street
Ann Arbor, MI
99999, US
Tel : +1-555-555-2003
Author
Time:
11/7/2016, 09:44
Acme EHR
Encounter
Identifier
9937012 OID: 2.16.840.1.113883.19
Type
Office outpatient visit 15 minutes
Date
From: 11/14/2017, 10:00
To: 11/14/2017, 10:15
Location
Outpatient facility
Responsible Party
Dr. Henry Seven of Level Seven Healthcare, Inc.
Contact
1002 Healthcare Drive
Ann Arbor, MI
99999, US
Tel : +1-555-555-1002
Plan of Treatment
Initial Case Report Trigger Code Lab Test Order | Trigger Code | Trigger Code codeSystem | RCTC OID | RCTC Version | Ordered Date |
---|---|---|---|---|---|
Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method | 80825-3 | LOINC | 2.16.840.1.114222.4.11.7508 | 19/05/2016 | NOV 7, 2016 |
Encounters
Encounter | Date(s) | Location | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Office outpatient visit 15 minutes | NOV 7, 2016 |
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History of Present Illness
Fever REPORTED starting on 2016/10/05
Medications Administered
Medication | Dose | Duration | Route |
---|---|---|---|
Azithromycin 500 MG Oral Tablet | 1 g | NOV 7, 2016 11:60 | ORAL |
Problems
Concern | Concern Status | Date(s) | ||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Problem | active | NOV 7, 2016 | ||||||||||||||||||||||||||
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Reason for Visit
Fever and Dark stools
Results
Results Panel | Date(s) | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CBC W Auto Differential panel in Blood | NOV 7, 2016 to NOV 7, 2016 | |||||||||||||||||||||||||||||||||||||||
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Results Panel | Date(s) | ||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Zika virus envelope (E) gene [Presence] in Serum by Probe and target amplification method | NOV 7, 2016 to NOV 7, 2016 | ||||||||||||||||||||||||||||||||||||
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Social History
Birth Sex | Value | Date |
---|---|---|
Sex Assigned At Birth | Female | NOV 24, 1974 |
Social History Observation Type | Value | Date(s) |
---|---|---|
Employment detail | Centers for Disease Control 1, Peachtree St South Atlanta, GA, 404-564-7865 | JAN 1, 1993 |
Travel History: Date(s) | Notes | Location |
---|---|---|
1999 to 2007 | Spent 8 years in the UK during the BSE outbreak | |
In the 3 weeks before NOV 9, 2016 |
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APR 29, 2016 to OCT 30, 2016 |
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MAY 6, 2016 to MAY 15, 2016 |
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JUL 13, 2016 to JUL 15, 2016 |
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OCT 22, 2016 to OCT 30, 2016 |
|
Pregnancy Status | Date(s) |
---|---|
|
JAN 1, 2016 to NOV 7, 2016 |
Document maintained by
Level Seven Healthcare, Inc.
Contact
4444 Healthcare Drive
An Arbor, MI
99999, US
Tel : +1(555)555-1212
Document Information
Document Identifier | Document Created |
---|---|
OID: db734647-fc99-424c-a864-7e3cda82e703 | 11/7/2016, 09:44 |