Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/
Disclaimer: FOR TEST AND EXAMPLE PURPOSES ONLY! These web pages are not intended to be used as a source of information on on healthcare or medicines. The web pages are not kept up to date and are for demonstration purposes only. For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines or the package leaflet of your medicine. For up-to-date information on other healthcare topics, please consult the relevant reliable sources or an healthcare expert, such as a physician etc.
BACK TO LIST

Hospital Discharge Report

Patient
Name: Ullmann, Ana
DOB: 10-DEC-1962 (Age: 63)
Gender: female
ID: 4509-614820-5
Author
Budig, Liesbeth
Hospital Discharge Report
Report Date: 26-SEP-1996
Hospital Admission: --
Hospital Discharge: --

Synthesis

Voluntary surgical sterilization, procedure completed

Hospital course note

Dear colleague, I am writing to inform you regarding your patient, a 62-year-old female who was admitted on 25 September 1996 at her own request for voluntary surgical sterilization. Prior to the procedure, a thorough preoperative assessment was performed, including clinical examination, routine laboratory workup, and anaesthetic evaluation, all of which returned satisfactory results. The patient confirmed her informed consent following detailed counselling regarding the permanent nature of the procedure. On 25 September 1996, bilateral tubal ligation was performed laparoscopically under general anaesthesia without intraoperative or postoperative complications. Recovery was uneventful and the patient was discharged home on 26 September 1996 in good general condition. No further gynaecological follow-up is required unless the patient presents with concerns. Please continue routine primary care management. Yours sincerely.

Diagnosis at Discharge

Sterilization admitted 26-Sep-1996 active

    Significant procedures

    Laparoscopic procedure 25-Sep-1996 -