Initial Public Health Case Report
About
Contact
2222 Home Street
Sacramento, CA
94203, US
Emergency Contact
()
Contact
Author
Contact
1234 Facility Drive
Sacramento, CA
94203
Encounter
Responsible Party
Contact
1234 Provider Street
Sacramento, CA
94203, US
Encounters
Encounter | Date(s) | Location | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
inpatient encounter | 05/13/2020 | Sacramento Hospital | ||||||||||||
|
History of Present Illness
recent travel for vacation to Wuhan China from April 22, 2020 to May 5, 2020;
Medications Administered
Medication | Directions | Dose | Duration | Route |
---|---|---|---|---|
Remdesivir 100 mg Injection | 100 mg every day for 4 days | 100 mg | May 13 11:60 | IM |
Problem List
Concern | Concern Status | Date(s) | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Problem | active | 05/13/2020 | |||||||||||||||||||
|
Reason for visit
recent travel for vacation to Wuhan China from April 22, 2020 to May 5, 2020
Results
Results Panel | Date(s) | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
SARS coronavirus 2 N gene [Presence] in Unspecified specimen by Nucleic acid amplification using primer-probe set N2 | ||||||||||||||
|
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 coronavirus 2 N gene [Presence] in Unspecified specimen by Nucleic acid amplification using primer-probe set N2 | 94308-4 | LOINC | 05/13/2020 |
Social History
Birth Sex | Value | Date |
---|---|---|
Sex Assigned At Birth | Male | 07/30/1989 |
Social History Observation Type | Value | Dates(s) |
---|---|---|
Occupation / Employment details | Sales |
Travel History: Date(s) | Notes | Location |
---|---|---|
04/22/2020 - 05/05/2020 | recent travel for vacation to Wuhan China from April 22, 2020 to May 5, 2020 |
Immunizations
Name | Administration Dates | Status |
---|---|---|
| Nov 2019 | Completed |
Document maintained by
Contact
1234 Facility Drive
Sacramento, CA
94203
Document Information
Document Identifier | Document Created |
---|---|
OID: 38e6a983-38ad-484f-a7d2-b294cdbe5435 | 05/5/2020, 11:05 |