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Clinical Note — Diagnosis: Spinal Pain — 7 November 2019

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.

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Document Metadata

TitleClinical Note — Diagnosis: Spinal Pain — 7 November 2019
DescriptionOriginal handwritten clinical note produced during a Pain Medicine consultation at UL Hospitals – Croom Hospital on 7 November 2019. The note records a diagnosis of spinal pain together with a handwritten management note referring to progressive muscle relaxation.
Institution / SourceUL Hospitals – Croom Hospital
CategoryClinical Note
KeywordsUL Hospitals · Croom Hospital · Pain Medicine · Prof. Dominic Harmon · Clinical Note · Spinal Pain · Progressive Muscle Relaxation · Pain Management · Clinical Consultation · November 2019
Publication Date2026-07-19
Document Date2019-11-07
Document FormatJPEG
Media TypeImage
SHA-256637f5c415b836c5986ff971c17f393221ce8c91fb6ab85f044d55220d39d53a4
Document IdentifierDOC-2026-000036
Optional Reference IdentifierNM-CLINICAL-NOTE-20191107-002

Document Image

Clinical Note — Diagnosis: Spinal Pain — 7 November 2019
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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.

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.

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
2026-07-19T06:21:35.896014Z
Intake mode
Streaming upload started
Streaming upload completed
Streaming validation completed
Streaming finalisation timestamp
Configured streaming limit
Document date
2019-11-07
Server-detected document format
JPEG
Detected MBOX variant
MBOX message count
Outlook archive type
Outlook parser status
Outlook parser version
Outlook preservation complete
Outlook hash verification status
Outlook inspection complete
Outlook inspection timestamp
Outlook projection state
Outlook archive job identifier
Archive source
Gmail Takeout parser version
Gmail Takeout preservation complete
Gmail Takeout projection state
Archive source
IMAP acquisition timestamp
IMAP acquisition hash
IMAP preservation complete
IMAP projection state
Original filename
Progressive_Muscular_27_November_2019.jpg
File size
1160973 bytes
SHA-256 digest
637f5c415b836c5986ff971c17f393221ce8c91fb6ab85f044d55220d39d53a4
SHA-512 digest
Document Identifier
DOC-2026-000036
Current lifecycle
Original lifecycle
Initial intake actor
nick
Review actor
nick
Approval actor
nick
Publication actor
nick
Review timestamp
2026-07-19T06:21:58.473068Z
Approval timestamp
2026-07-19T06:22:11.215631Z
Publication timestamp
2026-07-19T06:22:23.524341Z
Current lifecycle state
Published
Optional Reference Identifier
NM-CLINICAL-NOTE-20191107-002
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

TimestampPrevious statusNew statusActorNote
2026-07-19T06:21:35.896014Z Initial state Pending Intake nick Document uploaded to pending intake.
2026-07-19T06:21:58.473068Z Pending Intake Under Review nick Document entered administrative review following initial metadata verification.
2026-07-19T06:22:11.215631Z Under Review Approved nick Approved for publication. Administrative review completed and publication criteria satisfied.
2026-07-19T06:22:23.524341Z Approved Published nick Declared published. Public availability established following completion of the publication workflow.

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.