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

Patient
Name: Pineau, Jérôme
DOB: 01-MAY-1973 (Age: 52)
Gender: male
ID: 8628-113344-6 (ECI)
Author
Gilbert, Tristan
Patient summary Document
European Patient Summary
Report Date: 20-DEC-2024

Problem list

Condition Onset Date / Period Status
Type 2 diabetes mellitus 20-Dec-2024 active
Metabolic syndrome X 07-Jul-2000 active
Anemia 09-Jun-1995 active
Essential hypertension 28-May-1993 active
Viral sinusitis 25-Mar-2020 - 08-Apr-2020 inactive
Acute viral pharyngitis 06-Jan-2020 - 18-Jan-2020 inactive

Medication list

Medication Since Form Dosage Reason
Amlodipine (as amlodipine besylate) 2.5 mg oral tablet 2024-12-20 - 1 tablet (2.5 mg) by mouth once daily Essential hypertension (disorder)
Hydrochlorothiazide 25 mg oral tablet 2024-12-20 - 1 tablet (25 mg) by mouth once daily Essential hypertension (disorder)
Lisinopril 10 mg oral tablet 2024-12-20 - 1 tablet (10 mg) by mouth once daily Essential hypertension (disorder)
Acetaminophen 300 mg and codeine phosphate 15 mg oral tablet 2024-12-20 - 1 tablet (300 mg/15 mg) every 4 to 6 hours as needed -

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 20-Dec-2024
Clostridium tetani toxoid antigen adsorbed only vaccine product 09-Dec-2022
Live attenuated Human alphaherpesvirus 3 only vaccine product 09-Dec-2022
SARS-CoV-2 mRNA vaccine 03-Sep-2021

Procedure History list

No known procedures

Allergies and Intolerances

No known allergies or intolerances

Care Plan

Active Planned Care / Goals Start Date Reason
Therapy 17-Mar-2014 -
Lifestyle education regarding hypertension 28-May-1993 Essential hypertension (disorder)
  • Increase patient understanding of hypertension and its management strategies, including lifestyle modifications such as diet, exercise, and medication adherence.
Diabetes self management plan 10-Apr-1992 Prediabetes (finding)
  • Patient will demonstrate understanding of diabetes self-management principles including diet, exercise, medication adherence, and blood glucose monitoring.
  • Maintain or achieve HbA1c at individualized target level.
  • Achieve and maintain a healthy weight as part of diabetes self-management.
  • Maintain blood pressure within target range as part of diabetes self-management.
  • Engage in at least 150 minutes of moderate-intensity physical activity per week as part of diabetes self-management.

Vital Signs

Vital Signs 2024-12-20 2023-12-15
Body Height 186 cm 186 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 2 {score} 1 {score}
Body Weight 94.5 kg 94.5 kg
Body mass index (BMI) [Ratio] 27.3 kg/m2 27.3 kg/m2
Heart rate 83 /min 88 /min
Respiratory rate 16 /min 15 /min
Blood pressure panel with all children optional 72 mm[Hg] 71 mm[Hg]

Relevant diagnostic tests/laboratory data

Recent Lab Observations 20-DEC-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 6.8 H 4.8 - 5.9 %
Glucose [Mass/volume] in Blood 97.2 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 9.2 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 1.5 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 9.7 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 141.1 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.1 H 3.5 - 5.0 mmol/L
Chloride [Moles/volume] in Blood 102.9 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 20.9 L 22 - 29 mmol/L
Cholesterol [Mass/volume] in Serum or Plasma 189.8 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 105.1 0 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 122.2 H 0 - 100 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 46.6 40 - 60 mg/dL
Microalbumin/Creatinine [Mass Ratio] in Urine 7.3 0 - 30 mg/g

Device Use

Device Date (since)
Blood glucose meter (physical object) 10-Apr-1992