Lumbos, Gulam B.

HRN: 28-64-99  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
03/08/2026
AMOXICILLIN 500MG CAPSULE (CAP)
03/08/2026
03/14/2026
ORAL
500
BID
H.pylori
Remove - Pending Acceptance
03/08/2026
CLARITHROMYCIN 500MG (CAP)
03/08/2026
03/14/2026
ORAL
500
BID
H.pylori
Remove - Pending Acceptance

AMS Audit Form


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Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: