Canonical Record
CMP-MC-20191202-001
Supporting clinical note
Association summary
Formal complaint submitted to the Medical Council of Ireland on 2 December 2019, accompanied by an initial evidence package and supporting material.
Published Document
Clinical Note — Tramal (Tramadol) 100 mg IM — HR Clinic
Documents displayed in this library have been explicitly marked as Published through the administrative workflow. Publication indicates intentional public availability. Publication does not certify legal status, evidential truth, or external validation.
Administrative Actions
This protected administrative action opens the existing authenticated workflow for creating a distinct canonical CDE record from this Published document.
Create canonical record from this documentDocument Metadata
| Title | Clinical Note — Tramal (Tramadol) 100 mg IM — HR Clinic |
|---|---|
| Description | Handwritten contemporaneous clinical note recording administration of “Tramal 100 mg IM” at HR Clinic. “Tramal” is preserved as written on the original document. Preserved as an original documentary artefact. |
| Institution / Source | HR Clinic |
| Category | Clinical Note |
| Keywords | HR Clinic · Tramal · Tramadol · IM Injection · Clinical Note · Pain Medicine · Analgesia · Medical Council |
| Publication Date | 2026-07-17 |
| Document Date | 2019-11-30 |
| Document Format | JPEG |
| Media Type | Image |
| SHA-256 | 3c34e8788c616a95980a1c596f14c70e6b028f440537e0fd0244b81ae70cc99f |
| Document Identifier | DOC-2026-000024 |
| Optional Reference Identifier | NM-CLIN-NOTE-001 |
Document Image
Associated Civic Records
Association records a declared relationship between independently preserved objects. It does not by itself establish proof, sufficiency, factual truth, legal status, or external validation.
Publication Provenance
Publication provenance records the administrative pathway by which this document became publicly available through CDE. It does not certify the document’s legal status, evidential truth, authorship, or external validation.
- Intake date and time
- 2026-07-17T17:21:04.598560Z
- Intake mode
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- Streaming upload started
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- Streaming upload completed
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- Streaming validation completed
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- Streaming finalisation timestamp
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- Configured streaming limit
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- Document date
- 2019-11-30
- Server-detected document format
- JPEG
- Detected MBOX variant
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- MBOX message count
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- Outlook archive type
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- Outlook parser status
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- Outlook parser version
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- Outlook preservation complete
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- Outlook hash verification status
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- Outlook inspection complete
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- Outlook inspection timestamp
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- Outlook projection state
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- Outlook archive job identifier
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- Archive source
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- Gmail Takeout parser version
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- Gmail Takeout preservation complete
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- Gmail Takeout projection state
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- Archive source
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- IMAP acquisition timestamp
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- IMAP acquisition hash
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- IMAP preservation complete
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- IMAP projection state
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- Original filename
- HR_Clinic_Injection_Given.jpeg
- File size
- 829810 bytes
- SHA-256 digest
- 3c34e8788c616a95980a1c596f14c70e6b028f440537e0fd0244b81ae70cc99f
- SHA-512 digest
- —
- Document Identifier
- DOC-2026-000024
- Current lifecycle
- Original lifecycle
- Initial intake actor
- nick
- Review actor
- nick
- Approval actor
- nick
- Publication actor
- nick
- Review timestamp
- 2026-07-17T17:21:42.280270Z
- Approval timestamp
- 2026-07-17T17:21:58.192182Z
- Publication timestamp
- 2026-07-17T17:22:12.170499Z
- Current lifecycle state
- Published
- Optional Reference Identifier
- NM-CLIN-NOTE-001
- Public presentation mode
- Inline image view and original-file download
- Original-file download availability
- Original image download available
The SHA-256 digest identifies the exact original bytes admitted through Document Intake. It supports byte-level comparison of the preserved file but does not independently establish authorship, factual accuracy, legal status, or external authenticity.
Publication Pathway
Original lifecycle
| Timestamp | Previous status | New status | Actor | Note |
|---|---|---|---|---|
| 2026-07-17T17:21:04.598560Z | Initial state | Pending Intake | nick | Document uploaded to pending intake. |
| 2026-07-17T17:21:42.280270Z | Pending Intake | Under Review | nick | Initial metadata reviewed. Ready for administrative review. |
| 2026-07-17T17:21:58.192182Z | Under Review | Approved | nick | Administrative review completed. Metadata verified. Approved for publication. |
| 2026-07-17T17:22:12.170499Z | Approved | Published | nick | Publication approved. Clinical note declared published and added to the public archive. |
Actor identifies the administrative identity recorded for the lifecycle action. It does not by itself establish authorship, factual verification, or legal responsibility for the document contents.