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

Patient
Name: Andresen, , Helene,
DOB: 17-OCT-1939 (Age: 86)
Gender: female
ID: 3450-170343-2 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 30-NOV-2024

Problem list

Condition Onset Date Status
Osteoporosis 21-Oct-2018 active
Chronic sinusitis 31-May-1999 active
Hyperlipidemia 07-May-1989 active
Anemia 06-Jul-1963 active
Prediabetes 02-Jul-1960 active
Seizure disorder 19-Apr-1953 active

Medication list

Medication Since Form Dosage Reason
Simvastatin 10 mg oral tablet 2024-11-30 - 1 tablet (10 mg) by mouth once daily Hyperlipidemia
Alendronic acid (as alendronate sodium) 10 mg oral tablet 2024-11-23 - 1 tablet (10 mg) once daily Osteoporosis (disorder)

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 23-Nov-2024
SARS-CoV-2 mRNA vaccine 05-Jun-2021
Clostridium tetani toxoid antigen adsorbed only vaccine product 26-Oct-2019

Procedure History list

Procedure Date Reason
Suture open wound 30-Jun-2023 Laceration of hand
Pre-discharge assessment 09-May-2021 -
Discharge from skilled nursing facility (procedure) 09-May-2021 -
Nursing care/supplementary surveillance 08-May-2021 -
Physical therapy procedure 06-May-2021 -
Radiography of humerus 01-May-2021 -
History AND physical examination 01-May-2021 -
Bone immobilization 01-May-2021 Fracture of forearm
Initial patient assessment 01-May-2021 -
Development of individualized plan of care 01-May-2021 -
Occupational therapy 05-Mar-2020 -
Care regimes assessment 04-Mar-2020 -
Professional / ancillary services care 26-Feb-2020 -
Radiography of wrist 16-Feb-2020 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
Inadequate digital access affecting health care 2025-10-22 active environment

Care Plan

Active Planned Care / Goals Start Date Reason
Hyperlipidemia clinical management plan 28-May-1989 Hyperlipidemia
  • Achieve LDL cholesterol less than 2.6 mmol/L
  • Achieve total cholesterol less than 5.2 mmol/L
  • Maintain HDL cholesterol greater than 1.3 mmol/L
  • Achieve triglycerides less than 1.7 mmol/L
Diabetes self management plan 02-Jul-1960 Prediabetes
  • Patient will implement and maintain a diabetes self-management plan to reduce risk of progression from prediabetes.
  • Patient will achieve and maintain a healthy weight as part of diabetes self-management.
  • Patient will engage in at least 150 minutes of moderate-intensity physical activity per week.
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 2024-11-23 2023-11-18
Body Height 166.9 cm 166.9 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 4 {score} 0 {score}
Body Weight 76.6 kg 76.6 kg
Body mass index (BMI) [Ratio] 27.5 kg/m2 27.5 kg/m2
Diastolic Blood Pressure 83 mm[Hg] 75 mm[Hg]
Systolic Blood Pressure 124 mm[Hg] 127 mm[Hg]
Heart rate 92 /min 81 /min
Respiratory rate 13 /min 15 /min

Relevant diagnostic tests/laboratory data

Recent Lab Observations 30-NOV-2024 Reference Range Unit
Glucose [Mass/volume] in Blood 86.2 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 15.0 7 - 25 mg/dL
Creatinine [Mass/volume] in Blood 2.7 H 0.6 - 1.1 mg/dL
Calcium [Mass/volume] in Blood 8.6 8.6 - 10.4 mg/dL
Sodium [Moles/volume] in Blood 142.2 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.0 3.5 - 5.3 mmol/L
Chloride [Moles/volume] in Blood 106.8 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 20.6 L 22 - 32 mmol/L
Protein [Mass/volume] in Serum or Plasma 6.7 6.6 - 8.3 g/dL
Albumin [Mass/volume] in Serum or Plasma 4.0 3.5 - 5.5 g/dL
Globulin [Mass/volume] in Serum by calculation 2.2 2.2 - 3.7 g/L
Bilirubin.total [Mass/volume] in Serum or Plasma 0.3 0.3 - 1.2 mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 44.6 40 - 130 U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 43.4 7 - 55 U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 15.6 10 - 40 U/L
Cholesterol [Mass/volume] in Serum or Plasma 204.8 H 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 151.8 10 - 175 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 100.8 0 - 130 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 32.2 L 50 - 100 mg/dL

Device Use

Device Date (since)
Home nebulizer (physical object) 31-May-1999
Blood glucose meter (physical object) 02-Jul-1960