Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/
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European Patient Summary

Patient
Name: Ładziak, Blanka
DOB: 27-FEB-1979 (Age: 47)
Gender: female
ID: 1387-131176-0 (ECI)
Author
dr Żurawik, Bruno
Patient summary Document
European Patient Summary
Report Date: 27-AUG-2024

Problem list

Condition Onset Date / Period Status
Chronic sinusitis 14-Jun-1997 active
Acute bronchitis 28-Jun-2024 - 16-Jul-2024 inactive
Partial thickness burn 11-Sep-2017 - 12-Nov-2017 inactive
Sprain of ankle 21-Sep-2016 - 30-Oct-2016 inactive

Medication list

No known medications

Immunizations list

Vaccine Date
Live attenuated Human alphaherpesvirus 3 only vaccine product 27-Aug-2024
Influenza virus antigen only vaccine product 27-Aug-2024
SARS-CoV-2 mRNA vaccine 04-May-2021
Hepatitis A virus antigen only vaccine product 06-Sep-2016
Clostridium tetani toxoid antigen adsorbed only vaccine product 06-Sep-2016

Procedure History list

Procedure Date Reason
Epidural anesthesia 18-Jul-2023 Normal pregnancy (finding)
Prematurity of infant 18-Jul-2023 Normal pregnancy (finding)
Pre-discharge assessment 03-Oct-2017 -
Discharge from hospital 03-Oct-2017 -
Occupational therapy 02-Oct-2017 -
Physical therapy procedure 02-Oct-2017 -
Nursing care/supplementary surveillance 02-Oct-2017 -
Professional / ancillary services care 01-Oct-2017 -
Speech and language therapy regime 25-Sep-2017 -
History AND physical examination 11-Sep-2017 -
Initial patient assessment 11-Sep-2017 -
Development of individualized plan of care 11-Sep-2017 -

Allergies and Intolerances

No known allergies or intolerances

Care Plan

Active Planned Care / Goals Start Date Reason
Diabetes self management plan 06-Sep-2016 Prediabetes (finding)
  • Patient will implement lifestyle changes to maintain fasting blood glucose within target range.

Vital Signs

Vital Signs 2024-08-27 2022-09-20
Body Height 158.3 cm 158.3 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 2 {score} 2 {score}
Body Weight 75.6 kg 72.1 kg
Body mass index (BMI) [Ratio] 30.2 kg/m2 28.8 kg/m2
Heart rate 92 /min 80 /min
Respiratory rate 15 /min 14 /min
Blood pressure panel with all children optional 87 mm[Hg] 92 mm[Hg]

Relevant diagnostic tests/laboratory data

Recent Lab Observations 27-AUG-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 6.4 H 4.0 - 5.6 %
Glucose [Mass/volume] in Blood 76.9 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 14.2 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 1.0 0.5 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 10.1 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 136.8 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.0 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 108.7 98 - 110 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 25.7 22 - 32 mmol/L
Cholesterol [Mass/volume] in Serum or Plasma 127.8 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 131.5 0 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 50.0 0 - 100 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 51.5 40 - 60 mg/dL

Device Use

Device Date (since)
Blood glucose meter (physical object) 06-Sep-2016
Home nebulizer (physical object) 14-Jun-1997