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

Patient
Name: Teixeira, Geneviève
DOB: 10-MAY-1977 (Age: 48)
Gender: female
ID: 5170-765314-6 (ECI)
Author
dr Didier, Éric
Patient summary Document
European Patient Summary
Report Date: 15-OCT-2024

Problem list

Condition Onset Date / Period Status
Obstructive sleep apnea syndrome 27-Aug-2022 active
Sleep disorder 26-Jul-2022 active
Fibromyalgia 06-Feb-2014 active
Essential hypertension 13-Aug-2013 active
Anemia 30-Oct-2007 active
Recurrent urinary tract infection 08-Dec-1988 active
Chronic sinusitis 01-Apr-1975 active
Acute viral pharyngitis 04-Nov-2023 - 14-Nov-2023 inactive
Acute bronchitis 16-Mar-2021 - 04-Apr-2021 inactive
Acute viral pharyngitis 03-Mar-2021 - 16-Mar-2021 inactive
Acute viral pharyngitis 22-Dec-2019 - 05-Jan-2020 inactive
Acute viral pharyngitis 29-Dec-2015 - 10-Jan-2016 inactive

Medication list

Medication Since Form Dosage Reason
Ibuprofen 400 mg oral tablet 2024-10-15 - 1 tablet (400 mg) by mouth every 6 hours as needed -
Amlodipine (as amlodipine besylate) 2.5 mg oral tablet 2024-10-15 - 1 tablet (2.5 mg) by mouth once daily Essential hypertension (disorder)

Immunizations list

Vaccine Date
Clostridium tetani toxoid antigen adsorbed only vaccine product 15-Oct-2024
Live attenuated Human alphaherpesvirus 3 only vaccine product 15-Oct-2024
Influenza virus antigen only vaccine product 15-Oct-2024
SARS-CoV-2 mRNA vaccine 31-Aug-2021

Procedure History list

Procedure Date Reason
Sleep apnea monitoring with alarm 27-Aug-2022 Sleep disorder (disorder)
Sleep apnea assessment 27-Aug-2022 Sleep disorder (disorder)

Allergies and Intolerances

No known allergies or intolerances

Care Plan

Active Planned Care / Goals Start Date Reason
Care plan 27-Aug-2022 Obstructive sleep apnea syndrome (disorder)
  • Patient will report reduced daytime sleepiness as measured by the Epworth Sleepiness Scale within 3 months.
  • Patient will use CPAP device for at least 4 hours per night on 70% of nights over the next 3 months.
  • Patient will report improved sleep quality and fewer nighttime awakenings over the next 3 months.
Lifestyle education regarding hypertension 13-Aug-2013 Essential hypertension (disorder)
  • Patient will implement recommended lifestyle changes (diet, exercise, sodium reduction) to help control blood pressure.
Diabetes self management plan 26-Oct-2004 Prediabetes (finding)
  • Maintain hemoglobin A1c below 5.7% through diabetes self-management.
  • Achieve and maintain a 5% reduction in body weight to reduce risk of diabetes progression.
  • Adopt a balanced diet and regular physical activity as part of diabetes self-management plan.

Vital Signs

Vital Signs 2024-10-15 2023-11-03
Body Height 158.8 cm -
Pain severity - 0-10 verbal numeric rating [Score] - Reported 0 {score} -
Body Weight 60.2 kg -
Body mass index (BMI) [Ratio] 23.9 kg/m2 -
Heart rate 87 /min -
Respiratory rate 13 /min -
Blood pressure panel with all children optional 114 mm[Hg] -
Body temperature - 37.9 Cel

Relevant diagnostic tests/laboratory data

Recent Lab Observations 15-OCT-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 6.1 H 4.0 - 5.6 %
Glucose [Mass/volume] in Blood 67.7 L 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 11.7 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 0.6 0.5 - 1.1 mg/dL
Calcium [Mass/volume] in Blood 9.8 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 144.0 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.8 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 109.0 98 - 110 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 24.8 22 - 29 mmol/L

Device Use

Device Date (since)
Appliance for sleep apnea (physical object) 27-Aug-2022
Blood glucose meter (physical object) 26-Oct-2004
Home nebulizer (physical object) 01-Apr-1975