Patient | Ned Nuclear | ||
Admission Date | January 15, 2019 | ||
Date of birth | November 25, 1954 | Sex | Male |
Race | White | Ethnicity | Not Hispanic or Latino |
Contact info | address not available Telecom information not available |
Patient IDs | 123456 (2.16.840.1.113883.3.117.1.1.5.1.1.1) 111111111Z (2.16.840.1.113883.4.338) |
Document Id | 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2) |
Document Created | January 29, 2019 |
Author | anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2) |
Encounter Date | From January 15, 2019 | ||
Encounter Location | 1A (2.16.840.1.113883.3.117.1.1.5.1.1) (Long Term Care Facility Dementia Unit) |
Document maintained by | 2.16.840.1.114222.4.3.2.11 |
Legal authenticator | aLegalAuthenticatorID (2.16.840.1.113883.3.117.1.1.5.1.1.2) signed date/time: February 1, 2019 |
Date first admitted to facility | January 1, 2019 |
Has resident been transferred from acute care facility in past 4 weeks? | Yes |
If yes, date of last transfer from acute care facility | January 25, 2019 |
If yes, was resident on antibiotic therapy for this organism type at the time of transfer to facility? | Yes |
Microorganism Identified | Clostridioides difficile (organism) |
Specimen source/type | Stool specimen (specimen) |
Date specimen collected | January 19, 2019 |