Encounter description: Patient presented with open injury to sole of left foot caused by stepping on rusty nail yesterday. Wound red and swollen, no calf muscle tenderness, no coughing nor chest pain which excludes pulmonary embolism. Patient has an existing allergy to adhesive tape, which manifests as urticaria. Patient was given booster dose of anti tetanus and prescribed amoxicillin 500mg 3 times a day. Wound was attended. Advised to present in 2 days to the usual GPs clinic for a change of dressings.

Encounter status: finished

Encounter subject: Billy Tjakamarra; Pensioner Concession Card Number: 307111942H; gender = male; birth date = 23/04/1954; indigenous status = Aboriginal but not Torres Strait Islander origin

Encounter start: 31/03/2017 15:20

Encounter end: 31/03/2017 15:40