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@KevinMayfield
Created March 27, 2022 07:03
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<MsgId>13403891320453338075</MsgId>
<MsgIssueDate>202109171220</MsgIssueDate>
<MsgSender>Y90638OT001</MsgSender>
<MsgRecipient>Y90638OT002</MsgRecipient>
<ServiceRequester>
<IdValue>2</IdValue>
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<IdValue>1</IdValue>
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<IdValue>9333333333</IdValue>
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<PersonName_s>
<PersonNameType>CU</PersonNameType>
<StructPersonName>
<FamilyName>SMITH</FamilyName>
<GivenName>FREDRICA</GivenName>
<Title>MRS</Title>
</StructPersonName>
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<BirthDate>19651112</BirthDate>
<Sex>2</Sex>
<Address_u>
<PostCode>YO32 5TT</PostCode>
<UnstructAddress>
<UnstructAddressLine>MALTON</UnstructAddressLine>
<UnstructAddressLine>NORTH YORKSHIRE</UnstructAddressLine>
</UnstructAddress>
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<Parties>
<Party AgentId="1">
<DepartmentCode/>
<OrgCode IdType="Practice">Y9062</OrgCode>
<OrgName>Elmet Healthcare1</OrgName>
<HcpCode IdType="GP">G5612908</HcpCode>
<HcpName>Dr Gregory Townley</HcpName>
<LogicalAddress>urn:nhs-uk:addressing:mesh:Y90638OT002</LogicalAddress>
</Party>
<Party AgentId="2">
<DepartmentCode IdType="Internal">1234567</DepartmentCode>
<DepartmentName>Online Consultations Service</DepartmentName>
<OrgCode IdType="Provider">RR8</OrgCode>
<OrgName>LEEDS TEACHING HOSPITALS NHS TRUST</OrgName>
<HcpCode IdType="Specialist">G7654321</HcpCode>
<HcpName>Dr Gregory Townley</HcpName>
<LogicalAddress>urn:nhs-uk:addressing:mesh:Y90638OT001</LogicalAddress>
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<ReportID>5da894e0-a57e-43e9-a1a1-e283a484003c</ReportID>
<ReportType>Outpatient Letter</ReportType>
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<?xml version="1.0" encoding="ISO-8859-1"?><html xmlns="http://www.w3.org/1999/xhtml" xmlns:fhir="http://hl7.org/fhir"><head><title>Patient Consultation</title><style type="text/css">
body { color: #000000; font-size: 10pt; line-height: normal; font-family: Verdana, Arial, sans-serif; margin: 10px; }
h1 { font-size: 14pt; text-decoration: underline; font-weight: bold; color: #000000; margin-top: 25px; margin-bottom: 15px;}
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/* The FHIR Renderer has two options to either display the Full resource with all elements or a Partial resource with chosen elements,
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</style></head><body><h1>Patient Consultation</h1><hr/><div><h4>Patient</h4><table><tbody><tr><td>Name</td><td>DOB </td><td>Sex </td><td>NHS Number</td></tr><tr><td><b>Miss Praveen Dora</b></td><td><b>13 Mar 1998</b></td><td><b>Female</b></td><td><b>9876543219</b></td>
</tr>
</tbody>
</table><table><tbody><tr><td>Contact Details</td><td>Address</td></tr><tr><td> 0115 9737320
<br/> bernie.kanfeld@nhsdigital.nhs.uk
<br/>
</td><td> Field Jardin
<br/> Long Eaton
<br/> NG10 1ZZ
</td>
</tr>
</tbody>
</table>
</div><hr/><div><h2>Encounter</h2><div><table><tbody><tr><td>Name</td><td>Patient Consultation</td></tr><tr><td/><td/>
</tr><tr><td>Document Type</td><td>Report of clinical encounter</td></tr><tr><td>Date</td><td>20 Oct 2021 00:15</td></tr><tr><td>Care Setting</td><td>Community health services</td></tr>
</tbody>
</table><div><div><p>Summary</p></div><div><table><thead><tr><th>Date</th><th>Consultation Type</th><th>Provider</th></tr>
</thead><tbody><tr><td>20 Oct 2021</td><td>Telemedicine consultation with patient</td><td>Virtually Healthcare</td></tr>
</tbody>
</table>
</div>
</div>
</div></div><div><h2>Problems and Issues</h2><div><div><table><thead><tr><th>Date</th><th>Condition</th><th>Severity</th><th>Notes</th></tr>
</thead><tbody><tr><td>09 Oct 2021</td><td>Suspected 2019-nCoV (Wuhan) infection</td><td>Severe</td><td>Has cough and high body temp, this may be over training during lockdown. Cytokine triggered inflammation?</td></tr>
</tbody>
</table>
</div>
</div></div><div><h2>Consulation notes</h2><div><table><thead><tr><th>Text</th><th>Answer</th></tr>
</thead><tbody><tr><td>Exposure Type</td><td><div>Exposure to 2019-nCoV (Wuhan) infection</div></td>
</tr><tr><td>Onset</td><td><div>01 Mar 2020</div></td>
</tr><tr><td>Infection Type</td><td><div>Suspected 2019-nCoV (Wuhan) infection</div></td>
</tr><tr><td>Onset</td><td><div>01 Mar 2020</div></td>
</tr><tr><td/><td> </td></tr><tr><td/><td> </td></tr><tr><td/><td> </td></tr><tr><td/><td> </td></tr><tr><td/><td> </td></tr><tr><td>My Condition</td><td><div>Fatigue and Tiredness</div></td>
</tr><tr><td>Please describe your symptoms of fatigue or tiredness in as much detail as possible.</td><td><div>Started a new job and exercising hard for a cycling event in July. However even when I rest I am tired and can't sleep well</div></td>
</tr><tr><td>How long have you had these symptoms?</td><td><div>Since xmas</div></td>
</tr><tr><td>Have you had similar symptoms before? If so, when and how long did they last for?</td><td><div>No</div></td>
</tr><tr><td>Have you had any tests for this before?</td><td><div>No</div></td>
</tr><tr><td>Have you had influenza or any other type of infection recently?</td><td><div>No</div></td>
</tr><tr><td>Have you been abroad recently?</td><td><div>No</div></td>
</tr><tr><td>Have you been passing urine more often or getting more thirsty than usual?</td><td><div>No</div></td>
</tr><tr><td>How is this impacting your daily life? Please share any information you feel is relevant about your mood or changes in your life recently.</td><td><div>Tired in the afternoon and often need a snooze. Can often feel depressed, especially during prolonged rest periods from exercising and away from my bike</div></td>
</tr>
</tbody>
</table>
</div></div><div><h2>Observations</h2><div><div><div><table><thead><tr><th>Date</th><th>Observation</th><th>Value</th></tr>
</thead><tbody><tr><td>20 Oct 2021 09:17</td><td>Baseline oxygen saturation at periphery</td><td>89 percent</td></tr><tr><td>20 Oct 2021 09:17</td><td>Body weight</td><td>65 kilogram</td></tr><tr><td>20 Oct 2021 09:17</td><td>Core body temperature</td><td>37.4 degree Celsius</td></tr><tr><td>20 Oct 2021 09:17</td><td>Blood pressure</td><td>120/80 millimeter of mercury</td></tr>
</tbody>
</table>
</div>
</div>
</div></div><div><h2>Plan and requested actions</h2><div><div><div><table><thead><tr><th>Authored</th><th>Owner</th><th>Action</th><th>Status</th><th>Notes</th></tr>
</thead><tbody><tr><td> 09 Oct 2021 </td><td> VIRTUALLY HEALTH SYSTEMS LTD </td><td> Asthma medication review </td><td> REQUESTED </td><td> Patient presented at Austhorpe Hospital ED with breathing difficulties. As per NICE guideliines please review asthma medication. Please see discharge summary for more details </td></tr><tr><td> 03 Oct 2018 </td><td> VIRTUALLY HEALTH SYSTEMS LTD </td><td> </td><td> REQUESTED </td><td> </td></tr>
</tbody>
</table>
</div>
</div>
</div></div><div><h2>Consultation Participants</h2><div><div><table><tbody><tr><td>Consultant/Dr</td><td/>
</tr><tr><td> Dr N Bhatia (G6108221)
<br/>
</td><td> </td></tr>
</tbody>
</table>
</div><div><table><tbody><tr><td>Organisation</td><td/>
</tr><tr><td> VIRTUALLY HEALTH SYSTEMS LTD (M8X3A) </td><td> </td></tr>
</tbody>
</table>
</div>
</div></div><div><h2>GP Practice Details</h2><div><table><tbody><tr><td>Organisation</td><td/>
</tr><tr><td> ARCHWAY MEDICAL CENTRE (F83004) </td><td> 020 72720111
<br/>
</td>
</tr>
</tbody>
</table>
</div></div></body></html>
]]>
</TextBlock>
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</ClinicalReport>
</ReportMsg>
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