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

Patient
Name: Cervantes, Carmen
DOB: 30-NOV-1938 (Age: 87)
Gender: female
ID: 5080-477369-0 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 08-OCT-2024

Problem list

Condition Onset Date Status
Epilepsy 18-Apr-2024 active
Seizure disorder 18-Apr-2024 active
Ischemic heart disease 26-Jul-2011 active
Dependent drug abuse 24-May-1990 active
Essential hypertension 04-Mar-1986 active
Recurrent urinary tract infection 21-Dec-1951 active
Chronic sinusitis 11-Jun-1938 active

Medication list

No known medications

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 08-Oct-2024
SARS-CoV-2 mRNA vaccine 16-Nov-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 22-Mar-2016

Procedure History list

Procedure Date Reason
Electroencephalogram 17-Oct-2024 -
Radiography of humerus 10-Feb-2017 -
Bone immobilization 10-Feb-2017 Fracture of forearm
Bone density scan 10-Feb-2017 Fracture of forearm
Depression screening 22-Mar-2016 -
Medication reconciliation 22-Mar-2016 -
Assessment of health and social care needs 22-Mar-2016 -
Assessment using Morse Fall Scale 22-Mar-2016 -
Depression screening using Patient Health Questionnaire Two-Item score (procedure) 22-Mar-2016 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
? active ?

Care Plan

Active Planned Care / Goals Start Date Reason
Care plan 25-Jun-1990 -
Lifestyle education regarding hypertension 04-Mar-1986 Essential hypertension (disorder)
  • Patient will understand and implement recommended lifestyle changes to help control blood pressure, including dietary modifications, increased physical activity, and medication adherence.
  • Maintain systolic blood pressure below 130 mmHg.
  • Maintain diastolic blood pressure below 80 mmHg.
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 2024-10-08 2024-03-23
Body Height 162.4 cm -
Pain severity - 0-10 verbal numeric rating [Score] - Reported 3 {score} 4 {score}
Body Weight 73.6 kg -
Body mass index (BMI) [Ratio] 27.9 kg/m2 -
Diastolic Blood Pressure 95 mm[Hg] -
Systolic Blood Pressure 117 mm[Hg] -
Heart rate 60 /min -
Respiratory rate 13 /min -

Relevant diagnostic tests/laboratory data

Recent Lab Observations 08-OCT-2024 Reference Range Unit
Cholesterol [Mass/volume] in Serum or Plasma 165.2 0 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 112.7 0 - 199 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 91.0 0 - 130 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 51.6 46 - 77 mg/dL

Device Use

Device Date (since)
Home nebulizer (physical object) 11-Jun-1938