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Clinical profile

Structured clinical history — signed, auditable, and ready for any covering clinician.

Allergies & adverse reactions

1

Codeine

Nausea, Pruritus

moderateDrug

Dr. Fatuma Said

28 Dec 2025

Problem list

4
I50.9Heart failure, unspecified—chronicactive
N18.4Chronic kidney disease, stage 4—chronicactive
I48.91Atrial fibrillation—chronicactive
M17.11Osteoarthritis, right knee—chronicactive

Medications

5

Furosemide · 40 mg

Once daily

Once dailyLoop diureticStart 04 Sept 2024Dr. Fatuma Said0 refills

Bisoprolol · 2.5 mg

Once daily

Once dailyβ-blockerStart 13 Dec 2024Dr. Fatuma Said0 refills

Ramipril · 2.5 mg

Once daily

Once dailyACE inhibitorStart 13 Dec 2024Dr. Fatuma Said0 refills

Warfarin · 3 mg

Once daily, dose per INR

Once daily, dose per INRAnticoagulantStart 23 Mar 2025Dr. Fatuma Said0 refills

Paracetamol · 1 g

QDS PRN

QDS PRNAnalgesicStart 23 Mar 2025Dr. Fatuma Said0 refills

Surgical history

2

Right total knee replacement

14 Nov 2019

Dr. Peter Onyango

Nairobi Hospital

Cataract extraction (OD)

10 May 2022

Dr. Salma Karim

—

Social history

Tobacco

Never

Alcohol · AUDIT-C

Never

—

Physical activity

2 × 15 min

Walking, mobility limited

Occupation

Retired (nurse) — lives with daughter

Education: Diploma

Housing

Stable

Marital: Widowed

Substance use

Denies.

Code status & advance directives

DNR/DNI

Attested by Dr. Fatuma Said on 28 Mar 2026.

Surrogate decision-maker: Naomi Kamau (Daughter)

Advance directive on file

POLST / MOLST attachment: not uploaded. Upload a scanned document or use the in-app attestation workflow to formalise.