AU Base Implementation Guide
6.0.0-ballot - Ballot

AU Base Implementation Guide - Downloaded Version 6.0.0-ballot See the Directory of published versions

## Example List: List - Medicine list with changes

Page standards status: Informative

# 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