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

Patient
Name: Couturier, , Martine,
DOB: 13-NOV-1961 (Age: 63)
Gender: female
ID: 6614-983327-0 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 16-AUG-2024

Problem list

Condition Onset Date Status
Neuropathy due to type 2 diabetes mellitus 16-Aug-2024 active
Hypertriglyceridemia 26-Jun-2015 active
Type 2 diabetes mellitus 20-Jun-2014 active
Metabolic syndrome X 20-Jun-2014 active
Anemia 02-Aug-1985 active
Prediabetes 27-Jul-1979 active

Medication list

Medication Since Form Dosage Reason
Vitamin B12 5 MG/ML Injectable Solution 1985-08-09 - 1 mL (5 mg) injected intramuscularly once weekly -

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 16-Aug-2024
SARS-CoV-2 mRNA vaccine 12-Nov-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 30-Jul-2021

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
Vaccine product containing only Clostridium tetani toxoid antigen adsorbed ? active ?

Care Plan

Active Planned Care / Goals Start Date Reason
Diabetes self management plan 27-Jul-1979 Prediabetes
  • Patient will implement and maintain a diabetes self-management plan to address prediabetes and reduce risk of progression to type 2 diabetes.
Immunization Recommendation Due Date Reason
Vaccine product containing only Influenza virus antigen (medicinal product) 01-Oct-2025 Annual seasonal influenza vaccination

Vital Signs

Vital Signs 2024-08-16 2023-08-11
Body Height 165.5 cm 165.5 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 3 {score} 1 {score}
Body Weight 76.6 kg 76.6 kg
Body mass index (BMI) [Ratio] 28 kg/m2 28 kg/m2
Diastolic Blood Pressure 75 mm[Hg] 76 mm[Hg]
Systolic Blood Pressure 119 mm[Hg] 126 mm[Hg]
Heart rate 92 /min 71 /min
Respiratory rate 12 /min 16 /min

Relevant diagnostic tests/laboratory data

Recent Lab Observations 16-AUG-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 7.0 H 4 - 6 %
Glucose [Mass/volume] in Blood 110.5 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 17.2 7 - 25 mg/dL
Creatinine [Mass/volume] in Blood 0.9 0.6 - 1.1 mg/dL
Calcium [Mass/volume] in Blood 10.2 8.5 - 10.4 mg/dL
Sodium [Moles/volume] in Blood 141.0 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 3.9 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 108.0 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 27.7 22 - 29 mmol/L
Cholesterol [Mass/volume] in Serum or Plasma 215.4 H 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 196.9 H 35 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 128.7 0 - 130 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 47.3 40 - 100 mg/dL
Microalbumin/Creatinine [Mass Ratio] in Urine 10.7 0 - 30 mg/g

Device Use

Device Date (since)
Blood glucose meter (physical object) 27-Jul-1979