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City Medical Centre
Author Dr Charley Fletcher (General Medical Practitioner)
Phone (07) 3720 2801

Referral Detail

Date and Duration
Date Duration
17 Aug 2012 16:10+1000 6 month
Reason for Referral
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.

Medications

Medications
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

Medical History

Medical History - Procedures
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

Adverse Reactions

Substance/Agent Manifestation
Phenoxymethylpenicillin
  • Nausea
  • Diarrhea
    		•

    Diagnostic Investigations

    This section may contain the following subsections Pathology Test Result, Imaging Examination Result and Requested Service(s).

    Pathology Test Result (Diagnostic Investigations > Pathology Test Result)

    Pathology Test Result(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
    12 Aug 2012 14:45+1000 FBE Final
    • Test normal
    Pathology Test Specimen Detail
    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
    ADMINISTRATIVE DETAILS
    Patient
    Name Frank HARDING
    Sex Male
    Indigenous Status Aboriginal but not Torres Strait Islander origin
    Date of Birth 4 Oct 1949 (64y)
    IHI 8003 6086 6670 1594
    Entitlements 3950113823 (Medicare Benefits)
    Home Address 1 Australia Lane, North Adelaide, SA, 5006, Australia
    Phone (07) 30238400 (Home)
    Email [email protected] (Home)
    Author
    Name Dr Charley Fletcher (General Medical Practitioner)(HPI-I: 8003 6120 3330 4560)
    Organisation City Medical Centre (HPI-O: 8003 6220 3890 4560)
    Address 3/80 Stamford Road, North Adelaide, SA, 5006, Australia
    Phone (07) 3720 2801 (Workplace)
    Clinical Document Details
    Document Type e-Referral
    Creation Date/Time 17 Aug 2012 14:34+1000
    Date/Time Attested 17 Aug 2012 17:30+1000
    Document ID 2.25.64956694983688111704418336722205635114
    Document Set ID b56be7fe-dcbc-4550-a3d3-e1993aad9126
    Document Version 1
    Completion Code Final
    Referee
    Name Doctor Jane Anderson
    Address
    Work Place:
    1 Sandgate Rd, North Adelaide, SA, 5006, Australia
    Organisation Bay Hill Hospital

    Participants

    Name Contact Address Organisation Department
    Mary Harding (Patient's Nominated Contact)
    Phone:
    • (07) 33432221 (Home)
    Home:
    266 Sandgate Rd, North Adelaide, SA, 5006, Australia
    Doctor Charley Fletcher (Usual GP)
    Phone:
    • (07) 3720 2801 (Workplace)
    Work Place:
    3/80 Stamford Road, North Adelaide, SA, 5006, Australia
    		 City Medical Centre
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