Patient data
Patient ID 99990000999 Name Patient 3 name Sex Female DOB Aug. 18, 1958

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Progress Notes
Recorded by Physician 4name @ Facility Hospital 1 [JPN999999900009]
Date recorded 02-08-2002 @ Department Internal Medicine No. 1 [001]
Subjective
Fever returned on day after previous month’s examination.
X-rays taken at Ebihara Memorial Hospital. Patient diagnosed with pneumonia.
Also diagnosed as anemic. A total of 8 Fesin injections are planned.
No worsening of asthma after treatment.
Objective

Urinalysis: Sugar (-) Protein (1) Occult blood (2)
Heart and respiration sounds normal (usually piping rales)
118/86

Assesment

Anemia appears to be degree Hb10. Will probably be reexamined after completing iron treatment.
Overall stable. No inflammation of joints.
Plan

Outpatient prescription (February 8, 2002)

Order details
Medication: Prednisolone tablets (5) 3T
Dosage: 1 time/day after morning meal for 15 days
Medication: Prednisolone tablets (5) 2T
Dosage: 1 time/day after morning meal for 15 days
Medication: Alfarol capsules (1 mg) 1C
Dosage: 1 time/day after morning meal for 30 days
Medication: Selbex capsules (50) 3C
Dosage: 3 times/day after morning, noon, and evening meals for 30 days
Medication: Panaldine tablets (100) 2T
Dosage: 2 times/day after morning and evening meals for 30 days
Medication: Azeptin tablets (1) 2T
Dosage: 2 times/day after morning and evening meals for 30 days
Medication: Meptin tablets (50 mg) 2T
Dosage: 2 times/day after morning and evening meals for 30 days
Medication: Tagamet tablets (200) 2T
Dosage: 2 times/day after morning and evening meals for 30 days
Medication: Bisolvon tablets (4) 1T
Dosage: 1 time/day after evening meal for 30 days
Medication: Maalox oral suspension (1.2 g/pouch) 3 pouches
Dosage: 3 times/day immediately before morning, noon, and evening meals for 14 days
Medication: Tsumura Kakkon-to (pueraria root extract formula) powder [1] 3 packets
Dosage: 3 times/day immediately before morning, noon, and evening meals for 7 days
Medication: Renivace tablets (5) 1T
Dosage: 1 time/day after morning meal for 30 days
Medication: Halcion tablets (0.25) 1T
Dosage: 1 time/day before bedtime for 14 days

Reduction of steroids
Attempt 15/10 mg.
Intractable illness outpatient counseling (250), medication dosing and lifestyle instruction
Reserved order for reexamination (March 6, 2002)

Order details
Physician 4
Contact when urinalysis is completed.