Structured clinical history — signed, auditable, and ready for any covering clinician.
No known allergies
Confirmed by attending — signed on record.
Loratadine · 10 mg
Once daily PRN
Ibuprofen · 400 mg
TDS PRN
Tobacco
Former
Alcohol · AUDIT-C
Regular
Physical activity
5 × 45 min
Occupation
Software engineer
Housing
Stable
Substance use
Denies.
Attested by Dr. Neema Lyimo.
Surrogate decision-maker: Eunice Rotich (Wife)
Advance directive on file
POLST / MOLST attachment: not uploaded. Upload a scanned document or use the in-app attestation workflow to formalise.