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Document DOJ-OGR-00025390

AI Analysis

Summary: The document is a medical review form detailing a patient's hospitalization, treatment, and prognosis. It indicates the patient suffered 'Asphyxiation Secondary to Hanging' and notes various aspects of their care. The form is part of a larger document set, as indicated by the page number (1185).
Significance: This document appears to be a review of a patient's medical treatment and condition, potentially in the context of a legal or investigative proceeding, given the 'DOJ-OGR' reference.
Key Topics: Patient's medical condition and treatment Prognosis and discussion with patient's family Appropriateness of medical procedures and treatment
Key People:
  • Patient (unnamed) - Subject of the medical record
Document Type
Medical Record
Date
Unknown
Pages
1
Folder
IMAGES009
Has Handwriting
Yes

Full Text

Page 1185 Discussion with patient or patient's family regarding prognosis ___Yes ___No NA DNR order ___Yes ___No Date Advance Directive / Living Will ___Yes ___No NA LOCAL COMMUNITY HOSPITALIZATIONS ONLY: Type of admission ___Routine Emergent ___Other Method of transportation appropriate to patient condition Yes ___No ___NA Severity of condition at time of admission to local hospital ___Critical ___Stable ___Unknown Prognosis on admission to local hospital ___Poor ___Good ___Unknown Were diagnostic procedures appropriate and timely Yes ___No Was treatment appropriate to diagnosis and instituted timely Yes ___No Prognosis with treatment ___Poor ___Good ___Unknown Any complications adversely affecting outcome: (describe briefly) Asphyxiation Secondary to Hanging. Yes ___No Was treatment appropriate to complication Yes ___No Surgical Procedures (list) ___Yes No Appropriate pre-operative evaluation completed, including lab, physical exam, updated history ___Yes No Complications related to surgical procedures Describe ___Yes No Prognosis following surgical procedure ___Poor ___Good Unknown Patient compliant with treatment / medications ___Yes ___No NA Discussion with patient or patient's family regarding patient prognosis ___Yes ___No NA PDF Prescribed by P6013 4 DOJ-OGR-00025390