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Date | Duration |
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17 Aug 2012 16:10+1000 | 6 month |
Reason for Referral |
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Thank you for seeing Mr Harding for assessment and management. Frank is a 64 year old gentleman, presented with a 3 week history of Right Upper Quadrant (RUQ) abdominal pain, worse after food and possibly worse after eating fatty food. Please would you consider him for cholecystectomy as his RUQ pain is increasing both frequency and intensity but he remains afebrile and is not jaundiced. Abdo ultrasound report shows 3/4 full moderate sized mobile gall stones. LFTs slightly abnormal. Full blood count is normal. |
Medication | Directions |
---|---|
Tritace 10mg capsule: hard, 30 capsules | 1 tablet once daily |
Somac 40mg capsule: hard, 30 capsules | 1 tablet once daily |
Astrix 100mg capsule: hard, 30 capsules | 1 tablet once daily |
Date Time | Procedure | Comments |
---|---|---|
01 Jan 1999 16:33+1000 | Diabetes insipidus | |
25 Jan 1998 09:30+1000 | Primary uncemented total knee replacement | Cementless |
15 Jan 1990 09:30+1000 | Replacement of cardiac pacemaker |
Substance/Agent | Manifestation |
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Phenoxymethylpenicillin |
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This section may contain the following subsections Pathology Test Result, Imaging Examination Result and Requested Service(s).
Test Result DateTime | Test Result Name | Diagnostic Service | Overall Test Result Status | Clinical Information Provided | Pathological Diagnosis | Pathology Test Conclusion | Test Comment | Image / File |
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12 Aug 2012 14:45+1000 | FBE | Final |
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Received DateTime | Identifier | Parent Identifier | Container | Tissue Type | Physical Description | Physical Details | Sampling Preconditions | Collection Date | Collection Procedure | Collection Setting | Image / File |
---|---|---|---|---|---|---|---|---|---|---|---|
12 Aug 2012 11:35+1000 | LabZ1234567890-1 | 08 Aug 2012 09:10+1000 |
Patient
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Author
Clinical Document Details
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Referee
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Name | Contact | Address | Organisation | Department |
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Mary Harding (Patient's Nominated Contact) |
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Doctor Charley Fletcher (Usual GP) |
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City Medical Centre |