Initial Public Health Case Report
About
Contact
2222 Home Street
Salt Lake City, UT
84101, US
Parent/Guardian
Contact
2222 Home Street
Salt Lake City, UT
84101, US
Emergency Contact
()
Contact
Author
Contact
0987 Facility Drive
Salt Lake City, UT
84101
Encounter
Responsible Party
Contact
1234 Provider Street
Salt Lake City, UT
84101, US
Encounters
| Encounter | Date(s) | Location |
|---|---|---|
| Office outpatient visit 15 minutes | 05/13/2020 | Utah Outpatient Clinic |
|
|
History of Present Illness
Since May 10, 2020 the patient has had difficulty breathing and a fever;
Medications Administered
Problem List
| Concern | Concern Status | Date(s) | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Problem | active | 05/13/2020 | |||||||||||||||||||
|
Reason for visit
Patient believes they have Covid-19
Results
Plan of Treatment
Social History
| Birth Sex | Value | Date |
|---|---|---|
| Sex Assigned At Birth | Female | 10/27/2002 |
| Social History Observation Type | Value | Dates(s) |
|---|---|---|
| Occupation / Employment details | ||
| Pregnancy Status | No |
Document maintained by
Contact
0987 Facility Drive
Salt Lake City, UT
84101
Document Information
| Document Identifier | Document Created |
|---|---|
| OID: e91bc1e8-2523-4047-a663-1e3e07812948 | 05/5/2020, 15:00 |