Initial Public Health Case Report
About
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1234 Patient Street
New York City, NY
10012, US
Emergency Contact
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Author
Contact
0987 Facility Drive
New York City, NY
10012
Encounter
Responsible Party
Contact
1234 Provider Street
New York City, NY
10012, US
Encounters
Encounter | Date(s) | Location |
---|---|---|
Office outpatient visit 15 minutes | 05/13/2020 | New York City Outpatient Clinic |
|
History of Present Illness
fever, cough, exposure to COVID-19 hot zone;
Medications Administered
Problem List
Concern | Concern Status | Date(s) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Problem | active | 05/13/2020 | |||||||||||||||||||
|
Reason for visit
fever, cough, exposure to COVID-19 hot zone
Results
Plan of Treatment
*** In the table below, row entries with values under RCTC columns triggered this Electronic Initial Case Report (eICR)
Lab Test Order | Code | CodeSystem | RCTC OID *** | RCTC Version *** | Ordered Date |
---|---|---|---|---|---|
SARS-like Coronavirus N gene [Presence] in Unspecified specimen by NAA with probe detection | 94310-0 | LOINC | 2.16.840.1.114222.4.11.7508 | 20200429 | 05/13/2020 |
Social History
Birth Sex | Value | Date |
---|---|---|
Sex Assigned At Birth | Female |
Social History Observation Type | Value | Dates(s) |
---|---|---|
Occupation / Employment details | Sales | |
Pregnancy Status | No |
Travel History: Date(s) | Notes | Location |
---|---|---|
04/20/2020 - 05/10/2020 | Recent travel to China |
Document maintained by
Contact
0987 Facility Drive
New York City, NY
10012
Document Information
Document Identifier | Document Created |
---|---|
OID: 9408ddce-4dcb-416c-a153-82cce01839e2 | 05/5/2020, 15:00 |