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For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines
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| Condition | Onset Date / Period | Status |
|---|---|---|
| Ischemic heart disease | 28-May-2014 | active |
| Malignant neoplasm of breast | 26-Apr-2011 | active |
| Essential hypertension | 05-Feb-1997 | active |
| Metabolic syndrome X | 05-Feb-1997 | active |
| Anemia | 07-Jun-1989 | active |
| Gout | 08-Aug-1985 | active |
| Sepsis | 28-Jan-1984 | active |
| Chronic sinusitis | 05-Oct-1971 | active |
| Recurrent urinary tract infection | 29-Apr-1971 | active |
| Injury of knee | 11-Nov-2024 - 04-Jan-2025 | inactive |
| Injury of medial collateral ligament of knee | 11-Nov-2024 - 04-Jan-2025 | inactive |
| Sprain of ankle | 23-Aug-2022 - 16-Sep-2022 | inactive |
| Viral sinusitis | 22-Dec-2021 - 06-Jan-2022 | inactive |
| Fracture of forearm | 19-Sep-2021 - 22-Oct-2021 | inactive |
| Fracture of bone | 19-Sep-2021 - 22-Oct-2021 | inactive |
| Viral sinusitis | 24-Nov-2020 - 21-Dec-2020 | inactive |
| Medication | Since | Form | Dosage | Reason |
|---|---|---|---|---|
| Hydrochlorothiazide 25 mg oral tablet | 2024-07-24 | - | 1 tablet (25 mg) by mouth once daily | Essential hypertension (disorder) |
| Lisinopril 10 mg oral tablet | 2024-07-24 | - | 1 tablet (10 mg) by mouth once daily | Essential hypertension (disorder) |
| Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet | 2014-06-04 | - | 1 tablet (75 mg) once daily | - |
| Simvastatin 20 mg oral tablet | 2014-06-04 | - | 1 tablet (20 mg) by mouth once daily | - |
| Nitroglycerin 400 microgram/actuation sublingual spray | 2014-06-04 | - | 400 micrograms (1 spray) under the tongue as needed for chest pain, repeat every 5 minutes if needed, up to 3 sprays in 15 minutes | - |
| Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet | 2014-06-04 | - | 1 tablet (100 mg) once daily | - |
| Ferrous sulfate 325 mg prolonged-release oral tablet | 1989-06-14 | - | 1 tablet (325 mg) by mouth once daily | - |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 24-Jul-2024 |
| SARS-CoV-2 mRNA vaccine | 31-Mar-2021 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 01-Jul-2020 |
| Procedure | Date | Reason |
|---|---|---|
| Pre-discharge assessment | 03-Dec-2024 | - |
| Discharge from hospital | 03-Dec-2024 | - |
| Professional / ancillary services care | 02-Dec-2024 | - |
| Nursing care/supplementary surveillance | 02-Dec-2024 | - |
| Occupational therapy | 25-Nov-2024 | - |
| Physical therapy procedure | 25-Nov-2024 | - |
| History AND physical examination | 22-Nov-2024 | - |
| Postoperative care | 22-Nov-2024 | Injury of medial collateral ligament of knee (disorder) |
| Initial patient assessment | 22-Nov-2024 | - |
| Development of individualized plan of care | 22-Nov-2024 | - |
| Surgical manipulation of joint of knee | 18-Nov-2024 | Injury of medial collateral ligament of knee (disorder) |
| Plain X-ray of knee region | 11-Nov-2024 | - |
| Patient discharge | 26-Jun-2024 | - |
| Hospice care | 25-Jun-2024 | - |
| Notifications | 05-Jun-2024 | - |
| Certification procedure | 05-Jun-2024 | - |
| Bone immobilization | 19-Sep-2021 | Fracture of forearm (disorder) |
| Bone density scan | 19-Sep-2021 | Fracture of forearm (disorder) |
| Plain X-ray of humerus | 19-Sep-2021 | - |
| No known allergies or intolerances |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Lifestyle education regarding hypertension | 05-Feb-1997 | Essential hypertension (disorder) |
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| Diabetes self management plan | 20-Aug-1986 | Prediabetes (finding) |
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| Musculoskeletal care | 08-Aug-1985 | - |
| Immunization Recommendation | Due Date | Reason |
| Influenza virus antigen only vaccine product | 01-Oct-2026 | Annual seasonal influenza vaccination |
| Vital Signs | 2024-07-24 | 2023-07-19 |
|---|---|---|
| Body Height | 143.2 cm | 143.2 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 3 {score} | 0 {score} |
| Body Weight | 56.7 kg | 56.7 kg |
| Body mass index (BMI) [Ratio] | 27.7 kg/m2 | 27.7 kg/m2 |
| Heart rate | 97 /min | 99 /min |
| Respiratory rate | 15 /min | 14 /min |
| Blood pressure panel with all children optional | 71 mm[Hg] | 76 mm[Hg] |
| Recent Lab Observations | 24-JUL-2024 | Reference Range | Unit |
|---|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood | 6.1 H | 4.0 - 5.6 | % |
| Glucose [Mass/volume] in Blood | 67.5 L | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 15.0 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 0.5 L | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.8 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 140.8 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 3.8 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 110.3 H | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 21.3 L | 22 - 29 | mmol/L |
| Device | Date (since) |
|---|---|
| Blood glucose meter (physical object) | 20-Aug-1986 |
| Home nebulizer (physical object) | 05-Oct-1971 |