Initial Public Health Case Report

Eve Everywoman
Patient Identifiers
PT-470124 Meaningless identifier, not to be used for any actual entities. Examples only.
111-11-1111 United States Social Security Number

About

Date of Birth
12/12/1995
Sex
Female
Race
WHITE
Ethnicity
Hispanic or Latino

Contact

Home

1234 Patient Street

New York City, NY

10012, US

tel: (Primary Home) 555-555-2003
email: (Primary Home) eeeverywoman@email.com

Emergency Contact

Mr Emer Contact
()

Contact

tel: (Mobile Contact) +1-334-304-2665

Author

Time:
05/5/2020, 15:00
OID: 2.16.840.1.113883.3.72.5.20

Contact

Work Place

0987 Facility Drive

New York City, NY

10012

tel: (Work Place) 888-234-5678
fax: (Work Place) 888-333-1234

Encounter

Identifier
9937013 OID: 2.16.840.1.113883.19
Type
Office outpatient visit 15 minutes
Date
From: 05/13/2020
To: 05/13/2020
Location
Outpatient Facility

Responsible Party

Amanda Assigned, MD of New York City Outpatient Clinic

Contact

Home

1234 Provider Street

New York City, NY

10012, US

tel: (Work Place) 555-777-0123
fax: (Work Place) 555-777-0987

Encounters

EncounterDate(s)Location
Office outpatient visit 15 minutes05/13/2020New York City Outpatient Clinic

History of Present Illness

fever, cough, exposure to COVID-19 hot zone;

Medications Administered

No medications administered

Problem List

ConcernConcern StatusDate(s)
Problemactive05/13/2020
  • *** In the table below, row entries with values under RCTC columns triggered this Electronic Initial Case Report (eICR)

    Problem TypeProblemDate(s)CodeCode SystemRCTC OID ***RCTC Version ***
    symptomDifficulty Breathing )finding)05/13/2020230145002SNOMED-CT
    symptom

Reason for visit

fever, cough, exposure to COVID-19 hot zone

Results

No Lab Results

Plan of Treatment

*** In the table below, row entries with values under RCTC columns triggered this Electronic Initial Case Report (eICR)

Lab Test OrderCodeCodeSystemRCTC OID ***RCTC Version ***Ordered Date
SARS-like Coronavirus N gene [Presence] in Unspecified specimen by NAA with probe detection94310-0 LOINC2.16.840.1.114222.4.11.75082020042905/13/2020

Social History

Birth SexValueDate
Sex Assigned At BirthFemale
Social History Observation TypeValueDates(s)
Occupation / Employment detailsSales
Pregnancy StatusNo
Travel History: Date(s)NotesLocation
04/20/2020 - 05/10/2020Recent travel to China

Document maintained by

New York City Outpatient Clinic

Contact

Work Place

0987 Facility Drive

New York City, NY

10012

tel: (Work Place) 888-234-5678

Document Information

Document IdentifierDocument Created
OID: 9408ddce-4dcb-416c-a153-82cce01839e205/5/2020, 15:00