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For up-to-date information on a medicine, please consult www.ema.europa.eu/medicines or the package leaflet of your medicine.
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| Condition | Onset Date | Status |
|---|---|---|
| Essential hypertension | 25-Jan-2016 | active |
| Metabolic syndrome X | 25-Jan-2016 | active |
| Prediabetes | 20-Jan-2014 | active |
| Medication | Since | Form | Dosage | Reason |
|---|---|---|---|---|
| Lisinopril 10 mg oral tablet | 2025-03-17 | - | 1 tablet (10 mg) by mouth once daily | Essential hypertension (disorder) |
| Vaccine | Date |
|---|---|
| Influenza virus antigen only vaccine product | 17-Mar-2025 |
| SARS-CoV-2 mRNA vaccine | 05-Jul-2021 |
| Clostridium tetani toxoid antigen adsorbed only vaccine product | 11-Feb-2019 |
| Live attenuated Human alphaherpesvirus 3 only vaccine product | 11-Feb-2019 |
| Procedure | Date | Reason |
|---|---|---|
| Pre-discharge assessment | 22-Aug-2016 | - |
| Discharge from skilled nursing facility (procedure) | 22-Aug-2016 | - |
| Professional / ancillary services care | 21-Aug-2016 | - |
| Nursing care/supplementary surveillance | 21-Aug-2016 | - |
| History AND physical examination | 16-Aug-2016 | - |
| Initial patient assessment | 16-Aug-2016 | - |
| Development of individualized plan of care | 16-Aug-2016 | - |
| Allergy/Intolerance | Onset Date | Status | Type | Reaction |
|---|---|---|---|---|
| ? | active | ? |
| Active Planned Care / Goals | Start Date | Reason |
|---|---|---|
| Lifestyle education regarding hypertension | 25-Jan-2016 | Essential hypertension (disorder) |
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| Diabetes self management plan | 20-Jan-2014 | Prediabetes |
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| Vital Signs | 2025-03-17 | 2024-03-11 |
|---|---|---|
| Body Height | 178.3 cm | 178.3 cm |
| Pain severity - 0-10 verbal numeric rating [Score] - Reported | 2 {score} | 3 {score} |
| Body Weight | 95.1 kg | 96 kg |
| Body mass index (BMI) [Ratio] | 29.9 kg/m2 | 30.2 kg/m2 |
| Diastolic Blood Pressure | 84 mm[Hg] | 90 mm[Hg] |
| Systolic Blood Pressure | 145 mm[Hg] | 141 mm[Hg] |
| Heart rate | 86 /min | 61 /min |
| Respiratory rate | 14 /min | 15 /min |
| Recent Lab Observations | 17-MAR-2025 | Reference Range | Unit |
|---|---|---|---|
| Hemoglobin A1c/Hemoglobin.total in Blood | 6.3 H | 4.8 - 5.7 | % |
| Glucose [Mass/volume] in Blood | 99.8 H | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 17.4 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 1.0 | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.3 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 137.4 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.5 | 3.5 - 5.3 | mmol/L |
| Chloride [Moles/volume] in Blood | 103.5 | 98 - 114 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 22.7 | 22 - 29 | mmol/L |
| Device | Date (since) |
|---|---|
| Blood glucose meter (physical object) | 20-Jan-2014 |