Diabetes / Prediabetes

Diabetes, prediabetes, A1c, glucose, metformin, and glycemic monitoring signals.

Blood pressure, elevated BP, ACE/ARB, calcium-channel blocker, and diuretic signals.

Heart failure, coronary disease, arrhythmia, stroke, vascular risk, and statin signals.

COPD, emphysema, chronic bronchitis, inhalers, and respiratory exacerbation signals.

Asthma, wheeze, inhaler controller/rescue therapy, and respiratory symptom signals.

CKD, renal disease, eGFR, creatinine, albuminuria, and nephropathy signals.

Cancer history, oncology follow-up, remission, screening, and survivorship care signals.

Dementia, memory loss, cognitive impairment, Alzheimer disease, and safety signals.

Depression, anxiety, serious mental illness, therapy, SSRI/SNRI, and behavioral health signals.

Chronic pain, opioid therapy, morphine equivalents, naloxone, and risk-review signals.

Osteoarthritis, low back pain, joint pain, mobility limitation, and analgesic signals.

Frailty, falls, mobility risk, gait instability, and functional decline signals.

Glaucoma, diabetic eye risk, retinopathy, ophthalmology, and vision-screening signals.

Sickle cell disease, vaso-occlusive episodes, anemia, hydroxyurea, and pain-crisis signals.

Breast, cervical, and colorectal screening review signals only.

Structured current-smoker status and current tobacco roster signals.

Smoking history, pack-years, cessation support, quit date, and lung-screening review signals.

BMI, diet, physical activity, food insecurity, wellness, and lifestyle counselling signals.

Vaccination, immunization, flu, COVID, pneumococcal, shingles, and vaccine-gap signals.