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

Patient
Name: Gaičiūnas, , Gabrielius,
DOB: 19-MAY-1948 (Age: 77)
Gender: male
ID: 5711-320329-3 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 01-NOV-2024

Problem list

Condition Onset Date Status
Ischemic heart disease 03-Nov-2006 active
Proteinuria due to type 2 diabetes mellitus 19-Apr-2002 active
Acute ST segment elevation myocardial infarction 13-Jan-2002 active
Chronic sinusitis 23-Jun-1989 active
Microalbuminuria due to type 2 diabetes mellitus 27-Jan-1989 active
Disorder of kidney due to diabetes mellitus 20-Apr-1979 active
Essential hypertension 03-Feb-1978 active
Prediabetes 28-Jan-1972 active
Anemia 28-Jan-1972 active

Medication list

Medication Since Form Dosage Reason
insulin isophane human 70 UNT/ML / insulin regular human 30 UNT/ML Injectable Suspension [Humulin] 2024-11-01 - 10 units subcutaneously before breakfast and dinner Prediabetes
Ibuprofen 400 mg oral tablet 2024-11-01 - 1 tablet (400 mg) every 8 hours as needed -
Amlodipine (as amlodipine besylate) 2.5 mg oral tablet 2024-11-01 - 1 tablet (2.5 mg) by mouth once daily Essential hypertension (disorder)
Hydrochlorothiazide 25 mg oral tablet 2024-11-01 - 1 tablet (25 mg) by mouth once daily Essential hypertension (disorder)
24 HR tacrolimus 1 MG Extended Release Oral Tablet 2024-11-01 - 1 tablet (1 mg) by mouth once daily History of renal transplant (situation)
Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet 2006-11-10 - 1 tablet (75 mg) once daily -
Nitroglycerin 400 microgram/actuation sublingual spray 2006-11-10 - 400 micrograms per spray, spray one dose under the tongue 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 2006-11-10 - 1 tablet (100 mg) once daily -
Aspirin 81 mg gastro-resistant oral tablet 2002-01-13 - 1 tablet (81 mg) once daily -
Simvastatin 20 mg oral tablet 2002-01-13 - 1 tablet (20 mg) by mouth once daily -
Carvedilol 3.125 mg oral tablet 2002-01-13 - 1 tablet (3.125 mg) by mouth twice daily -
Prasugrel (as prasugrel hydrochloride) 10 mg oral tablet 2002-01-13 - 1 tablet (10 mg) once daily -
Losartan potassium 100 mg oral tablet 2002-01-13 - 1 tablet (100 mg) by mouth once daily -

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 01-Nov-2024
SARS-CoV-2 mRNA vaccine 26-Feb-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 11-Sep-2015

Procedure History list

Procedure Date Reason
Patient discharge 16-Dec-2018 -
Hospice care 15-Dec-2018 -
Notifications 23-Nov-2018 -
Certification procedure 23-Nov-2018 -
Initial patient assessment 23-Nov-2018 -
Development of individualized plan of care 23-Nov-2018 -
Referral to home health care service 01-Sep-2017 -
Medication reconciliation 23-Dec-2016 -
Assessment of health and social care needs 16-Dec-2016 -
Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption) 16-Dec-2016 -
Screening for domestic abuse 16-Dec-2016 -
Assessment of substance use 16-Dec-2016 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
? active ?

Care Plan

Active Planned Care / Goals Start Date Reason
Care plan 03-Dec-2013 -
Dialysis care plan 08-Sep-2008 -
Discharge care plan 13-Jan-2002 -
Musculoskeletal care 17-Sep-1993 Localized primary osteoarthritis of the hand
  • Reduce severity of hand pain associated with osteoarthritis
  • Improve ability to perform daily activities using hands
  • Increase grip strength in affected hand
Lifestyle education regarding hypertension 03-Feb-1978 Essential hypertension (disorder)
  • Maintain blood pressure below 130/80 mmHg through lifestyle modification and education.
  • Patient will demonstrate adherence to recommended lifestyle modifications for hypertension, including dietary changes, increased physical activity, and reduced sodium intake.
Diabetes self management plan 28-Jan-1972 Prediabetes
  • Patient will demonstrate understanding of diabetes self-management strategies including diet, exercise, and medication adherence.
  • Maintain hemoglobin A1c below 7% to reduce risk of diabetes complications.
  • Maintain fasting blood glucose below 100 mg/dL.
  • Maintain blood pressure below 130/80 mmHg as part of diabetes self-management.
  • Achieve at least 5% reduction in body weight to improve glycemic control.
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 2024-11-01 2023-10-27
Body Height 183.6 cm 183.6 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 2 {score} 2 {score}
Body Weight 93.8 kg 93.8 kg
Body mass index (BMI) [Ratio] 27.8 kg/m2 27.8 kg/m2
Diastolic Blood Pressure 81 mm[Hg] 78 mm[Hg]
Systolic Blood Pressure 88 mm[Hg] 96 mm[Hg]
Heart rate 75 /min 68 /min
Respiratory rate 16 /min 15 /min

Relevant diagnostic tests/laboratory data

Recent Lab Observations 01-NOV-2024 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 4.0 L 4.6 - 6.4 %
Glucose [Mass/volume] in Blood 90.0 70 - 110 mg/dL
Urea nitrogen [Mass/volume] in Blood 12.7 7 - 43 mg/dL
Creatinine [Mass/volume] in Blood 0.8 L 0.9 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 8.6 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 141.1 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.7 3.5 - 5.3 mmol/L
Chloride [Moles/volume] in Blood 101.5 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 23.8 22 - 29 mmol/L

Device Use

Device Date (since)
Home nebulizer (physical object) 23-Jun-1989
Blood glucose meter (physical object) 28-Jan-1972