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Example: List-example2
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MEDICINE LIST
PATIENT
| Name |
David Goodpatient
|
| DoB |
14 September 1953 |
| Gender |
Male |
| Address |
2 Round Court, QLD 4113 |
SOURCE OF MEDICINE LIST
| Name |
Iam Practitioner
|
| HPI-I |
8003619900015717 |
| Phone |
0755501234 |
| Email |
iam.practitioner@example.com |
CONSULTATION DETAILS
| Consultation date |
15 Mar 2019 |
| Consultation summary |
Patient presented with weakness over the last couple of days. No other
symptoms. Revised patient's medications. Advised patient to see the
usual GPs clinic for further consultation and review. |
CURRENT MEDICINES
| Medicine |
Direction |
Medicine Purpose |
Medicine Status |
Result of Action |
Special Instructions |
| Multi-vitamins |
1 tablet daily |
|
New |
|
|
| Spiriva (tiotropium bromide 18mg per inhalation) inhalant |
1 inhalation per day |
Chronic Obstructive Pulmonary Disease |
Amended |
Reduced to one inhalation a day |
|
| paracetamol 665 mg modified release tablet |
Two tablets every 6-8 hours when required. |
Osteoarthritis, pain relief |
Unchanged |
|
No more than 6 tablets in 24hr |
| cilostazol 100 mg tablet |
One a day at night time |
Blood thinning |
Amended |
Form change |
|
CEASED MEDICINES
| Medicine |
Reason |
| Ibuprofen |
Allergic reaction |