Patient | Jeremy Wong, jr |
Date of birth | June 1, 1980 |
Sex | Male |
Race | |
Ethnicity | |
Contact info | Primary Home: 1005 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-221-1234 |
Patient IDs | 116263337 2.16.840.1.113883.4.1 |
Document Id | ToC_7 2.16.840.1.113883.19.5.99999.1 |
Document Created: | July 22, 2015, 18:00:00, EST |
Care provision | Burn by Fire from July 22, 2015, 18:00:00, EST to July 22, 2015, 23:00:00 -5000 |
Performer (primary care physician) | Dr Henry Seven of Community Health and Hospitals |
Performer | Mary McDonald |
Author | Dr Henry Seven |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-1002 |
Encounter Id | 9937012 2.16.840.1.113883.19 |
Encounter Date | From July 22, 2015, 18:00:00, EST to July 22, 2015, 23:00:00 -5000 |
Personal relationship | Mr. Jae Wong |
Contact info | Primary Home: 1005 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-222-1544 |
Personal relationship | Ms Ira Wong |
Contact info | Primary Home: 1005 Amber Dr Beaverton, OR 97006, US Tel: +1(555)-222-1544 |
Entered by | Mary McDonald |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-1002 |
Signed | Dr Henry Seven at July 22, 2015 |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-1002 |
Informant | Henry Seven |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-1002 |
Informant | Ira Wong |
Information recipient: | Dr Henry Seven |
Legal authenticatorThis is not intended and not fully compliant with ONC Certification | Dr Henry Seven signed at July 22, 2015 |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-1002 |
Document maintained by | Community Health and Hospitals |
Contact info | 1002 Healthcare Dr Portland, OR 97266, US Tel: +1(555)-555-5000 |
Procedure | Date |
---|---|
Application of Dressing for burn | July 22, 2015 |
Patient has no history of implantable devices
Date / Time: | June 22, 2015 |
---|---|
Height | 177 cm |
Weight | 88 kg |
Blood Pressure | 145/88 mm[Hg] |
Date / Time: | July 22, 2015 |
---|---|
Body Temperature | 99 degrees Fahrenheit |
Social History Observation | Description | Dates Observed |
---|---|---|
Current Smoking Status | Current every day | July 22, 2015 |
Birth Sex | Male | July 22, 2015 |
Planned Care | Start Date |
---|---|
Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility. | July 29, 2015 |
Medication: Tylenol 500mg | As needed |