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

Patient
Name: Desio, Paola
DOB: 07-JUN-1987 (Age: 38)
Gender: female
ID: 6244-423563-4 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 02-AUG-2024

Problem list

Condition Onset Date Status
Essential hypertension 31-May-2013 active
Atopic dermatitis 21-Sep-1985 active

Medication list

No known medications

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 02-Aug-2024
Clostridium tetani toxoid antigen adsorbed only vaccine product 17-Jun-2016

Procedure History list

Procedure Date Reason
Radiologic examination of knee 23-Jun-2020 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
Allergy to substance 1985-10-11 active environment

Care Plan

Active Planned Care / Goals Start Date Reason
Lifestyle education regarding hypertension 31-May-2013 Essential hypertension (disorder)
  • Achieve and maintain blood pressure below 130/80 mmHg through lifestyle modifications.
  • Patient will demonstrate understanding of hypertension and its management strategies, including diet, exercise, and medication adherence.
Self-care interventions 11-Oct-1985 -
Skin condition care 21-Sep-1985 Atopic dermatitis
  • Decrease the severity of atopic dermatitis symptoms as measured by the Eczema Area and Severity Index (EASI) score.
  • Reduce patient-reported itch intensity using the Numeric Rating Scale (NRS) for pruritus.

Vital Signs

Vital Signs 2024-08-02 2023-09-19
Body Height 164 cm -
Pain severity - 0-10 verbal numeric rating [Score] - Reported 1 {score} -
Body Weight 75.7 kg -
Body mass index (BMI) [Ratio] 28.2 kg/m2 -
Diastolic Blood Pressure 68 mm[Hg] -
Systolic Blood Pressure 115 mm[Hg] -
Heart rate 81 /min -
Respiratory rate 15 /min -
Body temperature - 37.8 Cel

Relevant diagnostic tests/laboratory data

Recent Lab Observations 02-AUG-2024 Reference Range Unit
Cholesterol [Mass/volume] in Serum or Plasma 185.9 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 108.7 35 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 112.7 0 - 130 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 51.5 40 - 100 mg/dL