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European Patient Summary
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Problem list
| Condition | Onset Date / Period | Status |
|---|---|---|
| Ischemic heart disease | 16-Aug-2017 | active |
| Chronic sinusitis | 24-Aug-2010 | active |
| Anemia | 24-May-1995 | active |
| Acute bronchitis | 28-Sep-2022 - 05-Oct-2022 | inactive |
| Acute viral pharyngitis | 04-Sep-2019 - 13-Sep-2019 | inactive |
| Viral sinusitis | 21-Nov-2018 - 05-Dec-2018 | inactive |
| Viral sinusitis | 06-Dec-2015 - 17-Dec-2015 | inactive |
Medication list
| Medication | Since | Form | Dosage | Reason |
|---|---|---|---|---|
| Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet | 2017-08-23 | - | 1 tablet (75 mg) once daily | - |
| Simvastatin 20 mg oral tablet | 2017-08-23 | - | 1 tablet (20 mg) once daily | - |
| Nitroglycerin 400 microgram/actuation sublingual spray | 2017-08-23 | - | 400 micrograms (1 spray) under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes | - |
| Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet | 2017-08-23 | - | 1 tablet (100 mg) once daily | - |
| Vitamin B12 and/or vitamin B12 derivative-containing product | 1995-05-31 | - | 1000 mcg once daily | - |
Immunizations list
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 25-Sep-2024 |
| SARS-CoV-2 mRNA vaccine | 12-May-2021 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 02-Sep-2020 |
| Streptococcus pneumoniae Danish serotype 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, 33F capsular polysaccharide antigens conjugated only vaccine product | 05-Aug-2015 |
Procedure History list
| Procedure | Date | Reason |
|---|---|---|
| Postoperative procedure education | 02-Oct-2017 | History of coronary artery bypass grafting (situation) |
| Stair-climbing test | 02-Oct-2017 | History of coronary artery bypass grafting (situation) |
| Walking exercise test | 02-Oct-2017 | History of coronary artery bypass grafting (situation) |
| Discharge to ward | 02-Oct-2017 | - |
| Discharge from hospital | 02-Oct-2017 | History of coronary artery bypass grafting (situation) |
| Electrocardiographic procedure | 01-Oct-2017 | - |
| Transfusion of packed red blood cells | 01-Oct-2017 | - |
| Removal of endotracheal tube | 01-Oct-2017 | - |
| Plain X-ray of chest | 01-Oct-2017 | - |
Allergies and Intolerances
| No known allergies or intolerances |
Care Plan
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Diabetes self management plan | 10-May-1989 | Prediabetes (finding) |
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| Weight management program | 24-Jul-1957 | - |
| Immunization Recommendation | Due Date | Reason |
| Influenza virus antigen only vaccine product | 01-Oct-2026 | Annual seasonal influenza vaccination |
Vital Signs
| Vital Signs | 2024-09-25 | 2023-09-20 |
|---|---|---|
| Body Height | 163.3 cm | 163.3 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 1 {score} | 1 {score} |
| Body Weight | 70.1 kg | 70.1 kg |
| Body mass index (BMI) [Ratio] | 26.3 kg/m2 | 26.3 kg/m2 |
| Heart rate | 83 /min | 77 /min |
| Respiratory rate | 14 /min | 13 /min |
| Blood pressure panel with all children optional | 66 mm[Hg] | 72 mm[Hg] |
Relevant diagnostic tests/laboratory data
| Recent Lab Observations | 25-SEP-2024 | Reference Range | Unit |
|---|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood | 6.2 H | 4.0 - 5.6 | % |
| Glucose [Mass/volume] in Blood | 96.1 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 10.5 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 0.5 L | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 8.7 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 136.2 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 102.0 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 27.4 | 22 - 29 | mmol/L |
Device Use
| Device | Date (since) |
|---|---|
| Home nebulizer (physical object) | 24-Aug-2010 |
| Blood glucose meter (physical object) | 10-May-1989 |