All American Home Health, Inc. Page: 1 Patient Discharge Summary For:Smith, John Discharged On:07/20/99 Today`s date: 05/20/1999 Patient:Smith, John Birth Date:04/01/1899 P.O. Box 3439 Age :100 MDR, CA 93939- Sex :Male Phone :(310) 203-9398 HIC# :334-63-4233A Payor :Blue Cross of California Med. Rec.#:19980254 Start of Care :05/20/1999 Discharged :07/20/1999 Length of Stay :62 Days (including SOC and DC days) Discharge Type :22 No Further Home Health Care Needed ICD-9 Diagnosis Date 001.9 CHOLERA NOS Physician :Bosch, Geroge Case Manager: Summary of Care By Discipline: DOCH Goals/Rehabilitation/Discharge Plans: Client will be free of s/s urinary infection/ complications by 06/12/99. Caretaker will be knowledgeable of irrigation technique, Client/ caretaker will demonstrate compliance with bladder management regimen. Physician Signature & Date: ___________________________ __/__/__ Nurse Signature & Date : ___________________________ __/__/__ Copyright (c) 1999 by Professional Computer Consultants, Inc. TimeTrack@aol.com