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NHI
Last Name
First Name
Age
Gender
Ethnicity
Symptoms
Result
Day 0
Day 8
Custom Day
6wk Post test
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ResultDate
Today
Day 0
Day 8
Day 6weeks
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History/Symptoms:
Encounter type:
...select assessment type
Proactive (antiviral) assessment
PC Review
Desk Review
Escalation
Post escalation followup
In Clinic care
Final Follow-up check up
No answer to PC
Include
Covid+ review Day # PC/IP/EMAIL/SMS
text
PC
IP/In-clinic
MMH/Portal
Email
Include Dates information
Afterhours?
Overseas
Bubble
?Antivirals
COUGH:
Severity:
mild
moderate
severe
Type:
dry
mucoid
productive
Sounds:
tight
wheeze
noisy
crackly
DYSPNOEA:
Severity:
mild
moderate
severe
Sentences:
full
short
words
ENT:
coryza
congestion
sore throat
earache
hoarse
BODY:
fever
chills
aches
headache
GIT/ABDO:
N/V
diarrhoea
abdo pain
Assessment
Dx
covid
flu/FLI
pharyngitis
sinusitis
bronchitis
LRTI
Pneumonia
ACS:
1
2
3
4
5
Management:
self
active
For Antivirals?:
Yes
No
Recovery:
worse
no change
slow
steady
almost recovered
minimal symptoms
fully recovered
Actions/Plan
MSG:
PC msg left
Email sent
MMH sent
Appt
made in COV2
with GP/NP
FORMS
CCCM done
RAT upload
Review/follow up
nurse
gp
Escalate
gp/np
nurse
Discharge
From iso
From care
Advice:
fluids
analgesia
d/c iso guidelines
household mx
testing
ALL
.