Generated Narrative: Composition 25a08d62-baab-4e5a-944e-302cb2208dd1 Profile: Composition (EPS) identifier: urn:oid:2.16.840.1.113883.2.51.999/2d7952c1-c20b-4fb6-b353-d022d9323751 status: Final type: Patient summary Document date: 2025-08-31 17:41:07+0000 author: PractitionerRole title: European Patient Summary confidentiality: normal custodian: Organization Medisch Spectrum Twente
Condition Onset Date Status Osteoarthritis of knee 2016-06-24 active Pulmonary emphysema 1995-12-27 active Prediabetes 1991-02-13 active Anemia 1991-02-13 active
Condition Period Status Whiplash injury to neck 2024-01-07 – 2024-03-04 inactive Injury of neck 2024-01-07 – 2024-03-04 inactive Acute bronchitis 2017-07-11 – 2017-07-21 inactive Laceration of thigh 2017-03-17 – 2017-04-02 inactive Laceration - injury 2017-03-17 – 2017-04-02 inactive
Medication Since Form Dosage Reason Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation 2024-07-24 Solution for inhalation 2.5 mg via nebulizer every 4 to 6 hours as needed Pulmonary emphysema (disorder) 60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler 2024-07-24 1 inhalation (250 mcg/50 mcg) twice daily Pulmonary emphysema (disorder) Naproxen sodium 220 MG Oral Tablet 2016-06-24 1 tablet (220 mg) every 8 to 12 hours as needed Osteoarthritis of knee
Vaccine Date Influenza virus antigen only vaccine product 2024-07-24 SARS-CoV-2 mRNA vaccine 2021-04-14 Clostridium tetani toxoid antigen adsorbed only vaccine product 2017-06-14 Live attenuated Human alphaherpesvirus 3 only vaccine product 2017-06-14
Allergies and adverse reactions Document
No known allergies or intolerances
Active Planned Care Date Reason Chronic obstructive pulmonary disease clinical management plan 1995-12-27 Pulmonary emphysema (disorder) Diabetes self management plan 1991-02-13 Prediabetes
Vital Signs 2024-07-24 2023-07-19 Body Height 172.4 cm 172.4 cm Pain severity - 0-10 verbal numeric rating [Score] - Reported 0 {score} 3 {score} Body Weight 83.1 kg 83.1 kg Body mass index (BMI) [Ratio] 28 kg/m2 28 kg/m2 Diastolic Blood Pressure 81 mm[Hg] 82 mm[Hg] Systolic Blood Pressure 101 mm[Hg] 112 mm[Hg] Heart rate 78 /min 67 /min Respiratory rate 12 /min 14 /min
Relevant diagnostic tests/laboratory data
Relevant diagnostic tests/laboratory data note
Recent Lab Observations 13 Jul 2022 Reference Range Unit Hemoglobin A1c/Hemoglobin.total in Blood 6.3 H 4.8 - 5.7 % Glucose [Mass/volume] in Blood 81.8 70 - 99 mg/dL Urea nitrogen [Mass/volume] in Blood 16.4 7 - 25 mg/dL Creatinine [Mass/volume] in Blood 0.8 0.6 - 1.1 mg/dL Calcium [Mass/volume] in Blood 9.0 8.5 - 10.5 mg/dL Sodium [Moles/volume] in Blood 138.8 135 - 145 mmol/L Potassium [Moles/volume] in Blood 5.1 3.5 - 5.3 mmol/L Chloride [Moles/volume] in Blood 104.9 98 - 107 mmol/L Carbon dioxide, total [Moles/volume] in Blood 24.9 22 - 32 mmol/L Leukocytes [#/volume] in Blood by Automated count 8.6 3.4 - 10.5 10*3/uL Erythrocytes [#/volume] in Blood by Automated count 4.0 3.9 - 5.2 10*6/uL Hemoglobin [Mass/volume] in Blood 14.4 12 - 16 g/dL Hematocrit [Volume Fraction] of Blood by Automated count 35.3 L 36 - 45 % MCV [Entitic volume] by Automated count 87.6 82 - 98 fL MCH [Entitic mass] by Automated count 31.8 27 - 34.5 pg MCHC [Mass/volume] by Automated count 33.7 31 - 35 g/dL Erythrocyte distribution width [Entitic volume] by Automated count 45.0 35 - 55 fL Platelets [#/volume] in Blood by Automated count 448.0 150 - 450 10*3/uL Platelet distribution width [Entitic volume] in Blood by Automated count 410.2 H 11.6 - 17.4 fL Platelet mean volume [Entitic volume] in Blood by Automated count 11.6 9.4 - 14 fL
Device Date (since) Oxygen concentrator (physical object) 2022-07-13 Portable oxygen concentrator (physical object) 2020-07-01 Wheelchair accessory (physical object) 2016-06-24 Power-assisted wheelchair (physical object) 2016-06-24 Blood glucose meter (physical object) 1991-02-13
Eliane Muntinga 1969-02-25
Generated Narrative: PractitionerRole aca840e8-41ba-48a5-9f8f-1f0925fddc7e Profile: PractitionerRole (EU base) practitioner: Practitioner Hel Ping organization: Organization Medisch Spectrum Twente
Generated Narrative: Practitioner 7ba3c833-7f9d-4cfb-91cf-46b7e85e0ab0 Profile: Practitioner (EU base) name: Hel Ping
Generated Narrative: Organization 78377099-ec57-4f56-af1c-0aa20fa5deb2 Profile: Organization (EU base) identifier: urn:oid:2.16.840.1.113883.2.51.999/7720c3b9-14de-4f91-be49-659a23f327b5 name: Medisch Spectrum Twente address: Koningsplein 1 Enschede 7513 ER Netherlands
Osteoarthritis of knee 2016-06-24 active
Pulmonary emphysema 1995-12-27 active
Prediabetes 1991-02-13 active
Anemia 1991-02-13 active
Whiplash injury to neck 2024-01-07 – 2024-03-04 inactive
Injury of neck 2024-01-07 – 2024-03-04 inactive
Acute bronchitis 2017-07-11 – 2017-07-21 inactive
Laceration of thigh 2017-03-17 – 2017-04-02 inactive
Laceration - injury 2017-03-17 – 2017-04-02 inactive
Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation, Solution for inhalation
Product containing precisely salbutamol (as salbutamol sulfate) 5 milligram/1 milliliter conventional release solution for inhalation (clinical drug)
Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation
Albuterol (as albuterol sulfate) 5 mg/mL solution for inhalation 2024-07-24 Solution for inhalation 2.5 mg via nebulizer every 4 to 6 hours as needed Pulmonary emphysema (disorder)
2.5 mg via nebulizer every 4 to 6 hours as needed
60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler,
60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler
60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler 2024-07-24 1 inhalation (250 mcg/50 mcg) twice daily Pulmonary emphysema (disorder)
1 inhalation (250 mcg/50 mcg) twice daily
Naproxen sodium 220 MG Oral Tablet,
Naproxen sodium 220 MG Oral Tablet 2016-06-24 1 tablet (220 mg) every 8 to 12 hours as needed Osteoarthritis of knee
1 tablet (220 mg) every 8 to 12 hours as needed
Influenza virus antigen only vaccine product 2024-07-24
Vaccine product containing only Influenza virus antigen (medicinal product)
influenza, inactivated, split virus or surface antigen
Influenza seasonal injectable preservative free
Influenza virus antigen only vaccine product
SARS-CoV-2 mRNA vaccine 2021-04-14
Vaccine product containing SARS-CoV-2 mRNA
SARS-COV-2 (COVID-19) vaccine mRNA spike protein LNP preservative free 30 mcg/0.3mL dose
Clostridium tetani toxoid antigen adsorbed only vaccine product 2017-06-14
Vaccine product containing only Clostridium tetani toxoid antigen adsorbed (medicinal product)
tetanus toxoid, combinations with diphtheria toxoid
Td (adult) 5 Lf tetanus toxoid preservative free adsorbed
Clostridium tetani toxoid antigen adsorbed only vaccine product
Live attenuated Human alphaherpesvirus 3 only vaccine product 2017-06-14
Live attenuated Varicella-zoster vaccine
Live attenuated Human alphaherpesvirus 3 only vaccine product
Chronic obstructive pulmonary disease clinical management plan 1995-12-27 Pulmonary emphysema (disorder)
Chronic obstructive pulmonary disease clinical management plan (qualifier value)
Chronic obstructive pulmonary disease clinical management plan
Diabetes self management plan 1991-02-13 Prediabetes
Diabetes self management plan (qualifier value)
Body Height 172.4 cm
Pain severity - 0-10 verbal numeric rating [Score] - Reported 0 {score}
Pain severity - 0-10 verbal numeric rating [Score] - Reported
Body Weight 83.1 kg
Body mass index (BMI) [Ratio] 28 kg/m2
Diastolic Blood Pressure 81 mm[Hg]
Systolic Blood Pressure 101 mm[Hg]
Heart rate 78 /min
Respiratory rate 12 /min
Pain severity - 0-10 verbal numeric rating [Score] - Reported 3 {score}
Diastolic Blood Pressure 82 mm[Hg]
Systolic Blood Pressure 112 mm[Hg]
Heart rate 67 /min
Respiratory rate 14 /min
Generated Narrative: Observation 91ab77ce-f661-4483-827a-ce205decb586 Profile: Observation Results: laboratory status: Final category: Laboratory code: Hemoglobin A1c/Hemoglobin.total in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 6.3 % (Details: UCUM code4548-4 = '4548-4') interpretation: High ReferenceRanges - Low High * 4.8 % (Details: UCUM code% = '%') * 5.7 % (Details: UCUM code% = '%')
Hemoglobin A1c/Hemoglobin.total in Blood
Generated Narrative: Observation c6aeeaa5-9636-4777-afee-3ffba17a4322 Profile: Observation Results: laboratory status: Final category: Laboratory code: Glucose [Mass/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 81.8 mg/dL (Details: UCUM code2339-0 = '2339-0') ReferenceRanges - Low High * 70 mg/dL (Details: UCUM codemg/dL = 'mg/dL') * 99 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation ae67261c-ef10-481e-b7ee-0b8f5c9c8095 Profile: Observation Results: laboratory status: Final category: Laboratory code: Urea nitrogen [Mass/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 16.4 mg/dL (Details: UCUM code6299-2 = '6299-2') ReferenceRanges - Low High * 7 mg/dL (Details: UCUM codemg/dL = 'mg/dL') * 25 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation a26549a1-18da-4ee0-9bcd-f9e4dd808ead Profile: Observation Results: laboratory status: Final category: Laboratory code: Creatinine [Mass/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 0.8 mg/dL (Details: UCUM code38483-4 = '38483-4') ReferenceRanges - Low High * 0.6 mg/dL (Details: UCUM codemg/dL = 'mg/dL') * 1.1 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation f20f3bc6-7d78-4a82-8268-5caa4392e93e Profile: Observation Results: laboratory status: Final category: Laboratory code: Calcium [Mass/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 9 mg/dL (Details: UCUM code49765-1 = '49765-1') ReferenceRanges - Low High * 8.5 mg/dL (Details: UCUM codemg/dL = 'mg/dL') * 10.5 mg/dL (Details: UCUM codemg/dL = 'mg/dL')
Generated Narrative: Observation 61063a8f-4c1c-4f70-9d40-7cc30938ce5f Profile: Observation Results: laboratory status: Final category: Laboratory code: Sodium [Moles/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 138.8 mmol/L (Details: UCUM code2947-0 = '2947-0') ReferenceRanges - Low High * 135 mmol/L (Details: UCUM codemmol/L = 'mmol/L') * 145 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Generated Narrative: Observation 78661e59-9736-4ae5-9498-b4a14505cfce Profile: Observation Results: laboratory status: Final category: Laboratory code: Potassium [Moles/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 5.1 mmol/L (Details: UCUM code6298-4 = '6298-4') ReferenceRanges - Low High * 3.5 mmol/L (Details: UCUM codemmol/L = 'mmol/L') * 5.3 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Generated Narrative: Observation 0b04263c-25bb-44b3-87ce-dedf0036796e Profile: Observation Results: laboratory status: Final category: Laboratory code: Chloride [Moles/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 104.9 mmol/L (Details: UCUM code2069-3 = '2069-3') ReferenceRanges - Low High * 98 mmol/L (Details: UCUM codemmol/L = 'mmol/L') * 107 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Generated Narrative: Observation 19fca8b6-7c12-4305-b692-7798fac8f9a0 Profile: Observation Results: laboratory status: Final category: Laboratory code: Carbon dioxide, total [Moles/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 24.9 mmol/L (Details: UCUM code20565-8 = '20565-8') ReferenceRanges - Low High * 22 mmol/L (Details: UCUM codemmol/L = 'mmol/L') * 32 mmol/L (Details: UCUM codemmol/L = 'mmol/L')
Carbon dioxide, total [Moles/volume] in Blood
Generated Narrative: Observation b32998b2-9674-4d87-bfc8-d4da7e13756c Profile: Observation Results: laboratory status: Final category: Laboratory code: Leukocytes [#/volume] in Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 8.6 10*3/uL (Details: UCUM code6690-2 = '6690-2') ReferenceRanges - Low High * 3.4 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL') * 10.5 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')
Leukocytes [#/volume] in Blood by Automated count
Generated Narrative: Observation e1f8c3b5-7f6c-4fd9-bc64-0cd582e39544 Profile: Observation Results: laboratory status: Final category: Laboratory code: Erythrocytes [#/volume] in Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 4 10*6/uL (Details: UCUM code789-8 = '789-8') ReferenceRanges - Low High * 3.9 10*6/uL (Details: UCUM code10*6/uL = '10*6/uL') * 5.2 10*6/uL (Details: UCUM code10*6/uL = '10*6/uL')
Erythrocytes [#/volume] in Blood by Automated count
Generated Narrative: Observation b56a5d3a-652e-4d2d-b239-3f1b7e283540 Profile: Observation Results: laboratory status: Final category: Laboratory code: Hemoglobin [Mass/volume] in Blood subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 14.4 g/dL (Details: UCUM code718-7 = '718-7') ReferenceRanges - Low High * 12 g/dL (Details: UCUM codeg/dL = 'g/dL') * 16 g/dL (Details: UCUM codeg/dL = 'g/dL')
Generated Narrative: Observation ca4bcbeb-b5e0-4f71-8472-d206adffb8d4 Profile: Observation Results: laboratory status: Final category: Laboratory code: Hematocrit [Volume Fraction] of Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 35.3 % (Details: UCUM code4544-3 = '4544-3') interpretation: Low ReferenceRanges - Low High * 36 % (Details: UCUM code% = '%') * 45 % (Details: UCUM code% = '%')
Hematocrit [Volume Fraction] of Blood by Automated count
Generated Narrative: Observation c554030f-c45e-413d-bce4-3fbc35abae19 Profile: Observation Results: laboratory status: Final category: Laboratory code: MCV [Entitic volume] by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 87.6 fL (Details: UCUM code787-2 = '787-2') ReferenceRanges - Low High * 82 fL (Details: UCUM codefL = 'fL') * 98 fL (Details: UCUM codefL = 'fL')
Generated Narrative: Observation b21eb787-b054-4dc7-b9df-be0523b72f4b Profile: Observation Results: laboratory status: Final category: Laboratory code: MCH [Entitic mass] by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 31.8 pg (Details: UCUM code785-6 = '785-6') ReferenceRanges - Low High * 27 pg (Details: UCUM codepg = 'pg') * 34.5 pg (Details: UCUM codepg = 'pg')
Generated Narrative: Observation 161843e1-0f67-43a1-8b02-9e4319310329 Profile: Observation Results: laboratory status: Final category: Laboratory code: MCHC [Mass/volume] by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 33.7 g/dL (Details: UCUM code786-4 = '786-4') ReferenceRanges - Low High * 31 g/dL (Details: UCUM codeg/dL = 'g/dL') * 35 g/dL (Details: UCUM codeg/dL = 'g/dL')
Generated Narrative: Observation e4c2fdec-02cc-4607-a345-812ea97e2545 Profile: Observation Results: laboratory status: Final category: Laboratory code: Erythrocyte distribution width [Entitic volume] by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 45 fL (Details: UCUM code21000-5 = '21000-5') ReferenceRanges - Low High * 35 fL (Details: UCUM codefL = 'fL') * 55 fL (Details: UCUM codefL = 'fL')
Erythrocyte distribution width [Entitic volume] by Automated count
Generated Narrative: Observation b3260057-502c-4601-88d2-ab831932bf20 Profile: Observation Results: laboratory status: Final category: Laboratory code: Platelets [#/volume] in Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 448 10*3/uL (Details: UCUM code777-3 = '777-3') ReferenceRanges - Low High * 150 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL') * 450 10*3/uL (Details: UCUM code10*3/uL = '10*3/uL')
Platelets [#/volume] in Blood by Automated count
Generated Narrative: Observation 72eab022-ab3b-4d2d-b4dd-431152f28a93 Profile: Observation Results: laboratory status: Final category: Laboratory code: Platelet distribution width [Entitic volume] in Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 410.2 fL (Details: UCUM code32207-3 = '32207-3') interpretation: High ReferenceRanges - Low High * 11.6 fL (Details: UCUM codefL = 'fL') * 17.4 fL (Details: UCUM codefL = 'fL')
Platelet distribution width [Entitic volume] in Blood by Automated count
Generated Narrative: Observation c694aa21-a1e4-422d-bd78-d00b363a90f2 Profile: Observation Results: laboratory status: Final category: Laboratory code: Platelet mean volume [Entitic volume] in Blood by Automated count subject: Eliane Muntinga Female, DoB: 1969-02-25 ( Jurisdictional health number) effective: 2024-07-24 performer: The Central European Lab value: 11.6 fL (Details: UCUM code32623-1 = '32623-1') ReferenceRanges - Low High * 9.4 fL (Details: UCUM codefL = 'fL') * 14 fL (Details: UCUM codefL = 'fL')
Platelet mean volume [Entitic volume] in Blood by Automated count
Oxygen concentrator (physical object) 2022-07-13
Generated Narrative: Device e9b6e563-c1f8-4525-90f3-3c8a2545aa2d Profile: Device (EPS) udiCarrier id (01)72414451298513(11)220622(17)470707(10)4423614173096132290(21)690181734714164617 status: Active type: Oxygen concentrator (physical object) patient: Eliane Muntinga
Portable oxygen concentrator (physical object) 2020-07-01
Generated Narrative: Device a2c66fc6-aead-40ff-9fe4-b277e71a522e Profile: Device (EPS) udiCarrier id (01)12607895026184(11)200610(17)450625(10)85239924(21)55059024738 status: Active type: Portable oxygen concentrator (physical object) patient: Eliane Muntinga
Portable oxygen concentrator (physical object)
Wheelchair accessory (physical object) 2016-06-24
Generated Narrative: Device 7acf9fd1-e699-45f9-87e5-658fa885fda2 Profile: Device (EPS) udiCarrier id (01)40440227790454(11)160603(17)410618(10)73453153341(21)501975269661 status: Active type: Wheelchair accessory (physical object) patient: Eliane Muntinga
Power-assisted wheelchair (physical object) 2016-06-24
Generated Narrative: Device 9a057184-0681-45d9-8dde-48b862a25162 Profile: Device (EPS) udiCarrier id (01)65472792172729(11)160603(17)410618(10)289932158(21)3604440419517 status: Active type: Power-assisted wheelchair (physical object) patient: Eliane Muntinga
Power-assisted wheelchair (physical object)
Blood glucose meter (physical object) 1991-02-13
Generated Narrative: Device 38d27c3c-b04c-4514-b4a2-9bad0f5e8dad Profile: Device (EPS) udiCarrier id (01)85791496633594(11)910123(17)160207(10)574578553591936(21)46991 status: Active type: Blood glucose meter (physical object) patient: Eliane Muntinga