Patient | Ned Nuclear | ||
Admission Date | January 15, 2009 | ||
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) |
Document Id | 20202201 (2.16.840.1.113883.3.117.1.1.5.2.1.1.2) |
Document Created | August 7, 2008 |
Author | anAuthorID (2.16.840.1.113883.3.117.1.1.5.1.1.2) |
Encounter Date | From January 15, 2009 | ||
Encounter Location | 2.16.840.1.113883.3.117.1.1.5.1.1 |
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: August 7, 2008 |
Prior Discharge from this Facility (past 4 wks) | December 5, 2008 |
Discharged from another facility (past 4 wks) | Yes |
Other facility encounter type: inpatient encounter | Other facility: Nursing Home/Skilled Nursing Facility |
Other facility encounter type: inpatient encounter | Other facility: Other Inpatient Healthcare Setting (e.g., Acute Care Hospital, LTAC, Rehabilitation, etc.) |
Microorganism Identified | CRE-Klebsiella (CREKLEB) |
Specimen type | Pericardial fluid specimen (specimen) |
Date specimen collected | January 21, 2009 |
Procedure date | January 21, 2009 |
In-facility location where patient was when specimen was drawn | 9W Medical-Surgical Critical Care |
Date admitted/transferred to the location where the specimen was drawn | January 17, 2009 |
Bacterial isolate tested for carbapenemase | Yes |
Carbapenemase Test Performed | (PCR-KPC) Polymerase chain reaction – Klebsiella pneumoniae carbapenemase |
Carbapenemase Test Performed | (MBLs) Metallo-β-lactamase screen |
Carbapenemase Test Performed | Other : Other carbapenemase test not in value set |
Isolate tested positive for carbapenemase | Yes |
Carbapenemase Type Identified | (IMP) Imipenemase |
Carbapenemase Type Identified | Other : Other carbapenemase type not in value set |