EMR Journal sorted by last modification time ============================================ Patient: Kirk, Capt. James Tiberius (m), No: 12 Geboren: 21.03.1931, Alter: 81J 8M ---------------------------------------------------------------------------------------------------- Last modified | By | | Entry ---------------------------------------------------------------------------------------------------- 2012-06-13 21:47 | | … | Kontakt: in Praxis 2000-09-17 17:13 - 19:33 … | BA: bleeding cut forearm L … | BE: ?contaminated laceration L forearm 2012-06-13 21:47 | | … | Document: Patientenphoto (2012-06-13 21:47) … | Captain Kirk pictures 2012-06-13 21:47 | | A | accid cut himself left forearm -2/24 w/ dirty A | blade rescuing self from being tentacled, A | extraterrest.envir. 2012-06-13 21:47 | | B | left ulnar forearm; 6cm dirty laceration; B | skin/sc fat only; musc/tend not injured; no dist sens loss; B | pain/redness++; smelly secretion+; no pus 2012-06-13 21:47 | | D | contam/infected knife cut left arm, ?extraterr. vector, needs ABs/surg/blood 2012-06-13 21:47 | | T | 1) inflamm.screen/std ET serology T | 2) debridement/loose adapt.; 10ml xylocitin sc; 00-Reprolene T | 3) Pen 1.5 Mega 1-1-1 T | 4) review +2/7; tomorrow if symptoms/blood screen +ve 2012-06-13 21:47 | | D | ?contaminated laceration L forearm 2012-06-13 21:47 | | T | Impfung: Tetasorbat (SFCMS) (Tetanus) [SFCMS#102041A#11] (left deltoid muscle) T | Kommentar: prev booster > 7 yrs T | Indikationen: Tetanus 2012-06-13 21:47 | | … | Kontakt: in Praxis 2000-09-18 08:13 - 08:47 … | BA: knife cut follow-up, pain/swelling … | BE: postop infected laceration L forearm 2012-06-13 21:47 | | D | postop infected laceration L forearm 2012-06-13 21:47 | | B | Allergy (Allergie): developed urticaria/dyspnoe this morning, eg. 12h after B | first tablet B | Substanz: Penicillin V Stada; Allergen: Penicillin; 2012-06-13 21:47 | | … | Document: sonstiger Arztbrief "vietnam-2003-3::1" (2012-06-13 21:47) … | Vietnam 2003: The Peoples Republic 2012-06-13 21:47 | | … | Document: sonstiger Arztbrief "vietnam-2003-3::2" (2012-06-13 21:47) … | Vietnam 2003: Tagwerk 2012-06-13 21:53 | | D | Episode (andauernd): back pain; 2012-06-13 21:53 | | … | Kontakt: Verwaltungsakt 2012-06-13 21:49 - 21:49 2012-06-13 21:53 | | D | Episode (andauernd): scar problems left arm; 2012-06-13 21:53 | | D | Episode (abgeschlossen): postop infected laceration L forearm; 2012-06-13 21:53 | | … | Kontakt: Verwaltungsakt 2012-06-13 21:47 - 21:47 2012-06-13 21:53 | | D | Grunderkrankung (aktiv, medizinisch relevant): post appendectomy/peritonitis; D | aufgefallen im Alter von: 67 years 11 mons; D | Seite: na / 2012-06-13 21:53 | | D | Grunderkrankung (aktiv, medizinisch relevant): 9/2000 extraterrestrial D | infection; D | Seite: na / 2012-06-13 21:53 | | … | Kontakt: Verwaltungsakt 2012-06-13 21:47 - 21:47 2012-06-13 21:54 | | B | Allergiestatus: Allergien vorhanden (zuletzt überprüft 2012-06-13 21:47) 2012-06-13 21:55 | | D | Episode (abgeschlossen): abdominal lap; 2012-06-13 21:55 | | … | Krankenhausaufenthalt: 2003-01-03 - 2003-01-11 "Enterprise Healthcare Unit" 2012-06-13 22:00 | | T | substance intake (approved of): T | HCT [C03AA03] 12.5mg tablets 1-0-0-0, 2006-04-09 -> 10 years T | lower CV risk via RR (report increased nightly bladder activity) T | "MetoPharm comp." [C07BB52] 2012-06-13 22:00 | | T | substance intake (approved of): T | Metoprolol [C07AB02] 100mg tablets 1-0-0-0, 2006-04-09 -> 10 years T | lower CV risk via RR (report pulse < 60) T | "MetoPharm comp." [C07BB52] 2012-06-13 22:00 | | B | C-reactive protein (CRP): 17.3 mg/l (++) B | Range: - / 0.07-8 B | Responsible clinician: LMcC 2012-06-13 22:00 | | B | leukocytes (WBC): 9.5 Gpt/l () B | Range: - / 4.4-11.3 B | Responsible clinician: LMcC 2012-06-13 22:00 | | B | erythrocytes (RBC): 4.40 Tpt/l () B | Range: - / 4.1-5.1 B | Responsible clinician: LMcC 2012-06-13 22:00 | | B | platelets (PLT): 282 Gpt/l () B | Range: - / 150-450 B | Responsible clinician: LMcC 2012-06-13 22:00 | | B | C-reactive protein (CRP): 14.5 mg/l (++) B | Range: - / 0.07-8 B | Responsible clinician: LMcC 2012-11-05 11:27 | | A | Bruder @ 37 years (2267, Stardate 3287): Denevan neural parasite infection A | contributed to death @ 37 years A | George Samuel Kirk, 1928-07-18 2012-12-03 13:28 | LMcC | D | Episode (abgeschlossen): Bildnotizen; 2012-12-03 13:30 | LMcC | … | Deletion of document: … | 2012-12-03 13:28 "visual progress note" … | #1: "" … | /tmp/gnumed/gm-FCdhFW/gmScannedObj-I9RjmG-001.png … | 2012-12-03 13:38 | LMcC | … | Kontakt: in Praxis 2012-12-03 13:24 - 13:37 … | BA: wants to see Dr.McCoy for scar problems … | BE: Bildnotizen; 2012-12-03 20:42 | LMcC | … | Kontakt: in Praxis 2012-12-03 19:39 - 20:42 … | BA: wants to see Dr.McCoy for scar problems 2012-12-04 17:00 | LMcC | … | Kontakt: in Praxis 2012-12-04 16:52 - 17:00 … | BA: wants to see Dr.McCoy for scar problems 2012-12-04 18:05 | LMcC | D | Episode (andauernd): test; 2012-12-04 18:05 | LMcC | A | S oap 2012-12-04 18:05 | LMcC | B | s O ap 2012-12-04 18:05 | LMcC | D | so A p 2012-12-04 18:05 | LMcC | T | soa P 2012-12-04 19:07 | LMcC | … | Kontakt: in Praxis 2012-12-04 18:59 - 19:07 … | BA: wants to see Dr.McCoy for scar problems 2012-12-05 12:42 | LMcC | … | Kontakt: Akteneinsicht 2012-12-05 12:42 - 12:42 … | BA: wants to see Dr.McCoy for scar problems 2012-12-06 11:21 | LMcC | … | Kontakt: in Praxis 2012-12-06 11:20 - 11:21 … | BA: wants to see Dr.McCoy for scar problems 2012-12-06 11:33 | LMcC | D | Episode (andauernd): wants to see Dr.McCoy for scar problems; 2012-12-06 11:33 | LMcC | A | fd fasd A | A | adf as A | as A | asd as A | A | A | A | asdf asdf a A | A | A | A | asdf ass df A | a 2012-12-10 11:13 | LMcC | … | Kontakt: in Praxis 2012-12-10 11:06 - 11:13 … | BA: wants to see Dr.McCoy for scar problems ---------------------------------------------------------------------------------------------------- Exportiert: Mo 10 Dez 2012 14:16:19 CET