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

Patient
Name: Steenbakkers, Wilhelmina
DOB: 01-MAY-1940 (Age: 85)
Gender: female
ID: 1754-315887-1 (ECI)
Author
Dr. Ping, Hel
Patient summary Document
European Patient Summary
Report Date: 29-JUL-2025

Problem list

Condition Onset Date Status
Chronic kidney disease stage 2 2017-04-26 active
Microalbuminuria due to type 2 diabetes mellitus 2017-04-26 active
Ischemic heart disease 2015-10-14 active
Disorder of kidney due to diabetes mellitus 2010-05-12 active
Chronic kidney disease stage 1 2010-05-12 active
Alzheimer's disease 2009-03-11 active
Metabolic syndrome X 2002-01-30 active
Essential hypertension 2000-01-19 active
Impacted molars 1990-06-30 active
Prediabetes 1980-11-26 active
Anemia 1980-11-26 active
Recurrent urinary tract infection 1957-08-29 active

Medication list

Medication Since Form Dosage Reason
insulin isophane human 70 UNT/ML / insulin regular human 30 UNT/ML Injectable Suspension [Humulin] 2025-07-23 10 units subcutaneously twice daily before breakfast and dinner Prediabetes
Amlodipine (as amlodipine besylate) 2.5 mg oral tablet 2025-07-23 Oral tablet 1 tablet (2.5 mg) by mouth once daily Essential hypertension (disorder)
Hydrochlorothiazide 25 mg oral tablet 2025-07-23 Oral tablet 1 tablet (25 mg) by mouth once daily Essential hypertension (disorder)
Lisinopril 10 mg oral tablet 2025-07-23 Oral tablet 1 tablet (10 mg) by mouth once daily Essential hypertension (disorder)
Clopidogrel (as clopidogrel bisulfate) 75 mg oral tablet 2015-10-21 Oral tablet 1 tablet (75 mg) by mouth once daily
Simvastatin 20 mg oral tablet 2015-10-21 Oral tablet 1 tablet (20 mg) by mouth once daily
Nitroglycerin 400 microgram/actuation sublingual spray 2015-10-21 Sublingual spray 400 micrograms per spray, use one spray under the tongue as needed for chest pain, may repeat every 5 minutes as needed, up to 3 sprays in 15 minutes
Metoprolol tartrate (as metoprolol succinate) 100 mg prolonged-release oral tablet 2015-10-21 Prolonged-release oral tablet 1 tablet (100 mg) once daily
Galantamine (as galantamine hydrobromide) 4 mg oral tablet 2009-03-11 Oral tablet 1 tablet (4 mg) once daily Alzheimer's disease (disorder)
Vitamin B12 5 MG/ML Injectable Solution 1980-12-03 1 mg (1 mL) intramuscularly once monthly

Allergies and Intolerances

No known allergies or intolerances

Procedure History list

Procedure Date Reason
Depression screening 2025-04-23 -
Assessment of health and social care needs 2025-04-23 -
Assessment using Morse Fall Scale 2025-04-23 -
Assessment using AUDIT-C (Alcohol Use Disorders Identification Test - Consumption) 2025-04-23 -
Screening for domestic abuse 2025-04-23 -
Assessment of substance use 2025-04-23 -
2025-04-23 -
Medication reconciliation 2025-02-19 -
Assessment of anxiety 2025-02-19 -
Screening for drug abuse 2025-02-19 -
Depression screening using PHQ-9 (Patient Health Questionnaire 9) score 2024-01-24 -
Patient discharge 2023-12-16 -
Hospice care 2023-12-15 -
Notifications 2023-12-06 -
Certification procedure 2023-12-06 -
Initial patient assessment 2023-12-06 -
Development of individualized plan of care 2023-12-06 -
Pelvis X-ray 2022-12-14 -
Admission to orthopedic department 2022-12-14 Closed fracture of hip
Bone density scan 2022-12-14 Closed fracture of hip

Immunizations list

Vaccine Date
Influenza virus antigen only vaccine product 2025-05-21
SARS-CoV-2 mRNA vaccine 2021-03-10
Clostridium tetani toxoid antigen adsorbed only vaccine product 2019-11-20

Care Plan

Immunization Recommendation Due Date Reason
Vaccine product containing only Influenza virus antigen (medicinal product) 2025-10-01 Annual seasonal influenza vaccination

History of Past Illness

Condition Period Status
Fracture of bone 2022-12-14 – 2023-03-16 inactive
Closed fracture of hip 2022-12-14 – 2023-03-16 inactive
Viral sinusitis 2020-07-08 – 2020-07-26 inactive
Viral sinusitis 2017-09-20 – 2017-10-07 inactive

Vital Signs

Vital Signs 2025-07-23 2025-06-11
Body Height 159.2 cm 159.2 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 0 {score} 1 {score}
Body Weight 69.2 kg 69.2 kg
Body mass index (BMI) [Ratio] 27.3 kg/m2 27.3 kg/m2
Diastolic Blood Pressure 63 mm[Hg] 70 mm[Hg]
Systolic Blood Pressure 97 mm[Hg] 98 mm[Hg]
Heart rate 84 /min 96 /min
Respiratory rate 15 /min 13 /min