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

Patient
Name: Kwak, Julianna
DOB: 25-SEP-1973 (Age: 52)
Gender: female
ID: 4684-935734-1 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 09-JUN-2025

Problem list

Condition Onset Date Status
Chronic kidney disease stage 3 21-Aug-2023 active
Proteinuria due to type 2 diabetes mellitus 21-Aug-2023 active
Ischemic heart disease 05-Jul-2021 active
Fibromyalgia 05-Feb-2014 active
Chronic kidney disease stage 2 03-May-2010 active
Microalbuminuria due to type 2 diabetes mellitus 03-May-2010 active
Disorder of kidney due to diabetes mellitus 01-Dec-2003 active
Chronic kidney disease stage 1 01-Dec-2003 active
Chronic sinusitis 26-Apr-2003 active
Anemia 06-Mar-2000 active
Prediabetes 23-Feb-1998 active
Metabolic syndrome X 23-Feb-1998 active
Sepsis 04-May-1994 active
Essential hypertension 28-Dec-1987 active

Medication list

No known medications

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 09-Jun-2025
Clostridium tetani toxoid antigen adsorbed only vaccine product 05-Jul-2021
SARS-CoV-2 mRNA vaccine 10-May-2021
Live attenuated Human alphaherpesvirus 3 only vaccine product 29-Jun-2020

Procedure History list

Procedure Date Reason
Depression screening 23-Jan-2023 -
Assessment of health and social care needs 23-Jan-2023 -
Screening for drug abuse 23-Jan-2023 -
Assessment of substance use 23-Jan-2023 -
Depression screening using Patient Health Questionnaire Two-Item score (procedure) 23-Jan-2023 -
Medication reconciliation 24-Oct-2022 -
Assessment of anxiety 24-Oct-2022 -
Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption) 24-Oct-2022 -
Oxygen administration by mask 22-Dec-2020 Hypoxemia (disorder)
Placing subject in prone position 22-Dec-2020 Hypoxemia (disorder)
Plain X-ray of chest 13-Dec-2020 -
Screening for domestic abuse 24-Aug-2020 -

Allergies and Intolerances

Allergy/Intolerance Onset Date Status Type Reaction
? active ?

Care Plan

Active Planned Care / Goals Start Date Reason
Musculoskeletal care 12-Jan-2014 Localized primary osteoarthritis of the hand
  • Decrease hand pain severity to improve function and quality of life
  • Increase ability to perform daily activities using hands
  • Decrease swelling in affected hand joints
Diabetes self management plan 23-Feb-1998 Prediabetes
  • Patient will implement and sustain a diabetes self-management plan to reduce risk of progression to type 2 diabetes.
Lifestyle education regarding hypertension 28-Dec-1987 Essential hypertension (disorder)
  • Patient will receive education and demonstrate understanding of lifestyle modifications (diet, exercise, sodium restriction, weight management, alcohol moderation, smoking cessation) to help control blood pressure.
Weight management program 22-Dec-1986 -

Vital Signs

Vital Signs 2025-06-09 2025-04-07
Body Height 162.7 cm 162.7 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 0 {score} 0 {score}
Body Weight 84.8 kg 84.8 kg
Body mass index (BMI) [Ratio] 32 kg/m2 32 kg/m2
Diastolic Blood Pressure 73 mm[Hg] 70 mm[Hg]
Systolic Blood Pressure 96 mm[Hg] 99 mm[Hg]
Heart rate 73 /min 72 /min
Respiratory rate 16 /min 12 /min

Relevant diagnostic tests/laboratory data

Recent Lab Observations 09-JUN-2025 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 83.3 70 - 139 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 19.8 7 - 20 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 2.0 H 0.6 - 1.1 mg/dL
Calcium [Mass/volume] in Serum or Plasma 9.3 8.4 - 10.3 mg/dL
Sodium [Moles/volume] in Serum or Plasma 137.8 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 5.1 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 103.4 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 20.8 L 22 - 32 mmol/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 2.1 H 0 - 0.8 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.2 0 - 1 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 13.1 0 - 20 mg/dL
Ketones [Presence] in Urine by Test strip Urine ketone test = ++
Specific gravity of Urine by Test strip 1.0 L 1.005 - 1.03 {nominal}
pH of Urine by Test strip 5.3 4.6 - 7 pH
Protein [Mass/volume] in Urine by Test strip 296.3 H 0 - 14 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
Hemoglobin A1c/Hemoglobin.total in Blood 3.1 L 4 - 6 %
Glucose [Mass/volume] in Blood 83.3 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 19.8 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 4.0 H 0.6 - 1.1 mg/dL
Calcium [Mass/volume] in Blood 9.3 8.5 - 10.4 mg/dL
Sodium [Moles/volume] in Blood 137.8 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.1 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 103.4 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 20.8 L 22 - 29 mmol/L

Device Use

Device Date (since)
Home nebulizer (physical object) 26-Apr-2003
Blood glucose meter (physical object) 23-Feb-1998