Visualize HL7 Example and Test Instances (vi7eti), pronounced /viːˈsɛtiː/
Disclaimer: FOR TEST AND EXAMPLE PURPOSES ONLY! These web pages are not intended to be used as a source of information on medicines. The web pages are not kept up to date and are for demonstration purposes only. For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines or the package leaflet of your medicine.
 BACK TO LIST

European Patient Summary

Patient
Name: Lagarde, , Victor,
DOB: 31-AUG-1939 (Age: 86)
Gender: male
ID: 9925-001801-9 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 07-JUL-2025

Problem list

Condition Onset Date Status
Chronic kidney disease stage 3 14-Dec-2018 active
Proteinuria due to type 2 diabetes mellitus 14-Dec-2018 active
Chronic kidney disease stage 2 21-Nov-2014 active
Microalbuminuria due to type 2 diabetes mellitus 21-Nov-2014 active
Disorder of kidney due to diabetes mellitus 15-Nov-2013 active
Chronic kidney disease stage 1 15-Nov-2013 active
Hyperlipidemia 12-Oct-2007 active
Essential hypertension 19-Sep-2003 active
Metabolic syndrome X 19-Sep-2003 active
Ischemic heart disease 30-Jun-1989 active
Chronic sinusitis 10-Jan-1969 active
Prediabetes 30-Aug-1963 active
Anemia 30-Aug-1963 active

Medication list

Medication Since Form Dosage Reason
insulin isophane human 70 UNT/ML / insulin regular human 30 UNT/ML Injectable Suspension [Humulin] 2025-03-14 - Inject 10 units subcutaneously twice daily before breakfast and dinner Prediabetes
Hydrochlorothiazide 25 mg oral tablet 2025-03-14 - 1 tablet (25 mg) by mouth once daily Essential hypertension (disorder)
Simvastatin 10 mg oral tablet 2025-01-24 - 1 tablet (10 mg) by mouth once daily Hyperlipidemia
Nitroglycerin 400 microgram/actuation sublingual spray 1989-07-07 - 400 micrograms (1 spray) sublingually 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 1989-07-07 - 1 tablet (100 mg) once daily -

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 17-Jan-2025
SARS-CoV-2 mRNA vaccine 12-Feb-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 20-Dec-2019

Procedure History list

Procedure Date Reason
Depression screening 31-May-2024 -
Medication reconciliation 31-May-2024 -
Assessment of health and social care needs 31-May-2024 -
Screening for drug abuse 31-May-2024 -
Assessment using Morse Fall Scale 31-May-2024 -
Assessment of substance use 31-May-2024 -
Depression screening using Patient Health Questionnaire Two-Item score (procedure) 31-May-2024 -
Assessment of anxiety 17-May-2024 -
Screening for domestic abuse 17-May-2024 -
Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption) 05-Apr-2024 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
? active ?

Care Plan

Active Planned Care / Goals Start Date Reason
Dialysis care plan 07-Jul-2025 -
Hyperlipidemia clinical management plan 02-Nov-2007 Hyperlipidemia
  • Reduce LDL cholesterol to target level to lower cardiovascular risk.
  • Achieve total cholesterol within recommended range.
  • Maintain fasting triglycerides below recommended threshold.
  • Maintain HDL cholesterol above minimum recommended level.
Lifestyle education regarding hypertension 19-Sep-2003 Essential hypertension (disorder)
  • Maintain blood pressure below 130/80 mmHg through lifestyle modifications.
  • Reduce daily sodium intake to less than 2.3 grams per day.
  • Achieve a 5% reduction in body weight to support blood pressure control.
  • Engage in at least 150 minutes of moderate-intensity physical activity per week.
Diabetes self management plan 30-Aug-1963 Prediabetes
  • Patient will implement and maintain a diabetes self-management plan to delay or prevent progression of prediabetes.
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 2025-07-16 2025-07-13
Weight difference [Mass difference] --pre dialysis - post dialysis 3.6 kg 2.9 kg
Pain severity - 0-10 verbal numeric rating [Score] - Reported 5 {score} 4 {score}

Relevant diagnostic tests/laboratory data

Recent Lab Observations 07-JUL-2025 Reference Range Unit
Glucose [Mass/volume] in Blood 79.6 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 11.8 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 3.1 H 0.9 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 9.2 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 137.8 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.8 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 108.5 H 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 25.7 22 - 29 mmol/L
Protein [Mass/volume] in Serum or Plasma 6.6 6 - 8.3 g/dL
Albumin [Mass/volume] in Serum or Plasma 4.5 3.5 - 5.5 g/dL
Globulin [Mass/volume] in Serum by calculation 2.3 2 - 3.5 g/L
Bilirubin.total [Mass/volume] in Serum or Plasma 0.5 0.3 - 1.2 mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 24.4 L 39 - 147 U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 59.0 10 - 63 U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 32.5 10 - 40 U/L
Appearance of Urine Cloudy urine
Odor of Urine Urine smell ammoniacal
Clarity of Urine Translucent
Color of Urine Brown color
Glucose [Mass/volume] in Urine by Test strip 0.6 0 - 0.8 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.9 0 - 1.9 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 16.4 H 0 - 3 mg/dL
Ketones [Presence] in Urine by Test strip Urine ketone test = +++
Specific gravity of Urine by Test strip 1.0 L 1.01 - 1.03 {nominal}
pH of Urine by Test strip 5.6 4.5 - 7.5 pH
Protein [Mass/volume] in Urine by Test strip 326.8 H 0 - 149 mg/dL
Protein [Presence] in Urine by Test strip Urine protein test = +++
Nitrite [Presence] in Urine by Test strip Urine nitrite negative
Hemoglobin [Presence] in Urine by Test strip Urine blood test = negative
Leukocyte esterase [Presence] in Urine by Test strip Urine leukocyte test negative

Device Use

Device Date (since)
Home nebulizer (physical object) 10-Jan-1969
Blood glucose meter (physical object) 30-Aug-1963