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

Patient
Name: Johnston, , Katy,
DOB: 19-SEP-1988 (Age: 37)
Gender: female
ID: 1854-452946-6 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 20-APR-2025

Problem list

Condition Onset Date Status
Laceration of hand 02-Jul-2025 active
Laceration - injury 02-Jul-2025 active
Prediabetes 17-Mar-2019 active
Anemia 17-Mar-2019 active
Fibromyalgia 04-Feb-2014 active
Dependent drug abuse 07-Aug-2005 active
Chronic intractable migraine without aura 27-Sep-2001 active
Impacted molars 21-Jun-2001 active

Medication list

Medication Since Form Dosage Reason
Acetaminophen 325 mg oral tablet 2025-07-02 - 1 tablet (325 mg) by mouth every 4 to 6 hours as needed for pain. Do not exceed 12 tablets (3900 mg) in 24 hours. -
Acetaminophen 300 mg and hydrocodone bitartrate 5 mg oral tablet 2025-04-20 - 1 tablet (300 mg/5 mg) every 4 to 6 hours as needed for pain -
Diphenhydramine hydrochloride 25 mg oral tablet 1988-04-02 - 1 tablet (25 mg) every 6 hours as needed -
Epinephrine 1 mg/mL solution for injection 1988-04-02 - 0.3 mg (1 mg/mL) injected intramuscularly as needed for anaphylaxis -

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 20-Apr-2025
SARS-CoV-2 mRNA vaccine 20-Jun-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 17-Mar-2019

Procedure History list

Procedure Date Reason
Suture open wound 02-Jul-2025 Laceration of hand

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
Mold 1988-04-02 active environment
Eggs (edible) 1988-04-02 active food Wheal (finding)
Allergy to substance 1988-04-02 active environment

Care Plan

Active Planned Care / Goals Start Date Reason
Wound care 02-Jul-2025 Laceration of hand
  • Achieve full epithelialization of the hand laceration without signs of infection.
  • Reduce wound size to 0 cm by end of treatment.
  • Maintain absence of clinical signs of infection throughout wound healing.
Diabetes self management plan 17-Mar-2019 Prediabetes
  • Patient will implement and adhere to a diabetes self-management plan to reduce risk of progression to type 2 diabetes.
Care plan 19-Jun-2013 -
Self-care interventions 15-Mar-1988 -

Vital Signs

Vital Signs 2025-04-20 2025-03-13
Body Height 156 cm -
Pain severity - 0-10 verbal numeric rating [Score] - Reported 3 {score} 6 {score}
Body Weight 75.1 kg -
Body mass index (BMI) [Ratio] 30.9 kg/m2 -
Diastolic Blood Pressure 72 mm[Hg] -
Systolic Blood Pressure 129 mm[Hg] -
Heart rate 88 /min -
Respiratory rate 16 /min -

Relevant diagnostic tests/laboratory data

Recent Lab Observations 20-APR-2025 Reference Range Unit
Hemoglobin A1c/Hemoglobin.total in Blood 6.0 H 4.8 - 5.7 %
Glucose [Mass/volume] in Blood 74.1 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 10.1 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 0.9 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 9.0 8.5 - 10.4 mg/dL
Sodium [Moles/volume] in Blood 138.6 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.9 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 106.5 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 22.1 22 - 29 mmol/L
Leukocytes [#/volume] in Blood by Automated count 4.3 3.4 - 10 10*3/uL
Erythrocytes [#/volume] in Blood by Automated count 5.0 4.5 - 5.2 10*6/uL
Hemoglobin [Mass/volume] in Blood 17.3 H 12 - 16 g/dL
Hematocrit [Volume Fraction] of Blood by Automated count 47.3 H 37 - 47 %
MCV [Entitic volume] by Automated count 90.3 82 - 98 fL
MCH [Entitic mass] by Automated count 29.9 27 - 33 pg
MCHC [Mass/volume] by Automated count 34.5 32 - 37 g/dL
Erythrocyte distribution width [Entitic volume] by Automated count 39.4 36 - 56 fL
Platelets [#/volume] in Blood by Automated count 380.4 150 - 450 10*3/uL
Platelet distribution width [Entitic volume] in Blood by Automated count 199.4 H 11.6 - 17.4 fL
Platelet mean volume [Entitic volume] in Blood by Automated count 9.5 9.4 - 14 fL

Device Use

Device Date (since)
Blood glucose meter (physical object) 17-Mar-2019