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0, active
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1, current
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status never synthetic-demo | Clinical note: SOAP note Diabetes follow-up S: Patient seen for longitudinal primary care follow-up. Reports va...
membership needs review
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Open review tasks
2
New, in review, or accepted tasks
Last visit
2026-01-24
Appointment or derived chart contact
Latest A1c
8.4 %
2026-07-19
Latest BP
136 mmHg / 82 mmHg
2026-07-19
Extracted signals
0
Optional text signals
Chart volume
94
7 notes, 7 reports
A compact view of what needs attention before opening the full imported record.
Review priority
3
active signal
s
2
11
0
Review these before relying on the imported record clinically.
Review needed
2 open flags
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 8.4 % on 2026-07-19.
Future-dated imported records
Some source dates are after today's date and should be validated before clinical use.
Active problems
3
Type 2 diabetes mellitus
E11
active
Essential hypertension
I10
active
Dyslipidemia
E78.5
active
Active medications
3
Metformin
500mg BID
Ramipril
5mg daily
Rosuvastatin
10mg daily
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0, selected
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80, more source rows below
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11
imported record
s
appear future-dated relative to today. Keep them visible for audit, but review source dates before using them clinically.
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 124/78, BMI 31.2, cardiopulmonary exam stable, feet chec
report
Laboratory
Lab panel: HbA1c 8.4%, LDL 3.3 mmol/L, eGFR 80, ACR 1.7. Interpret in clinical context.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status never synthetic-demo | Clinical note: SOAP note Diabetes follow-up S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 124/... | Clinical note: SOAP note Diabetes follow-up S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 123/... | Care element: smoking_status never synthetic-demo | probable
clinical_flag
Synthetic diabetes monitoring review
new | medium | synthetic_longitudinal_data | Longitudinal synthetic data suggests diabetes with recent monitoring possibly due.
clinical_flag
Synthetic BP follow-up review
new | medium | synthetic_longitudinal_data | Several synthetic BP readings are above target and need clinician review.
alert
Diabetes monitoring due soon
Synthetic alert for testing active cohort and review workflows.
appointment
Chronic disease follow-up
completed
appointment
Chronic disease follow-up
completed
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 123/77, BMI 30.2, cardiopulmonary exam stable, feet chec
report
Laboratory
Lab panel: HbA1c 8.3%, LDL 3.2 mmol/L, eGFR 79, ACR 1.6. Interpret in clinical context.
appointment
Chronic disease follow-up
completed
appointment
Chronic disease follow-up
completed
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 122/76, BMI 29.2, cardiopulmonary exam stable, feet chec
report
Laboratory
Lab panel: HbA1c 8.2%, LDL 3.1 mmol/L, eGFR 78, ACR 1.5. Interpret in clinical context.
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 124/78, BMI 31.2, cardiopulmonary exam stable, feet checked when diabetes present. A: Type 2 diabetes follow-up; hypertension monitoring; risk factors reviewed. P: Review labs, reinforce lifestyle plan, reconcile medications, update immunizations, and arrange follow-up. Clinician review required for any care gap.
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 123/77, BMI 30.2, cardiopulmonary exam stable, feet checked when diabetes present. A: Type 2 diabetes follow-up; hypertension monitoring; risk factors reviewed. P: Review labs, reinforce lifestyle plan, reconcile medications, update immunizations, and arrange follow-up. Clinician review required for any care gap.
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 122/76, BMI 29.2, cardiopulmonary exam stable, feet checked when diabetes present. A: Type 2 diabetes follow-up; hypertension monitoring; risk factors reviewed. P: Review labs, reinforce lifestyle plan, reconcile medications, update immunizations, and arrange follow-up. Clinician review required for any care gap.
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 121/75, BMI 28.2, cardiopulmonary exam stable, feet checked when diabetes present. A: Type 2 diabetes follow-up; hypertension monitoring; risk factors reviewed. P: Review labs, reinforce lifestyle plan, reconcile medications, update immunizations, and arrange follow-up. Clinician review required for any care gap.
Synthetic diabetes monitoring review
Longitudinal synthetic data suggests diabetes with recent monitoring possibly due.
Synthetic BP follow-up review
Several synthetic BP readings are above target and need clinician review.
Laboratory
Lab panel: HbA1c 8.4%, LDL 3.3 mmol/L, eGFR 80, ACR 1.7. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 8.3%, LDL 3.2 mmol/L, eGFR 79, ACR 1.6. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 8.2%, LDL 3.1 mmol/L, eGFR 78, ACR 1.5. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 8.1%, LDL 3.0 mmol/L, eGFR 77, ACR 1.4. Interpret in clinical context.
Laboratory
Hba1c
8.4 %
2026-07-19Fasting Glucose
8.6 mmol/L
2026-07-19Ldl Cholesterol
3.3 mmol/L
2026-07-19Egfr
80 mL/min/1.73m2
2026-07-19Albumin Creatinine Ratio
1.7 mg/mmol
2026-07-19Systolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 124/78, BMI 31.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 8.4%, LDL 3.3 mmol/L, eGFR 80, ACR 1.7. Interpret in clinical context. | |
care_element | systolic_bp | 136 | |
care_element | fasting_glucose | 8.6 | |
care_element | ldl_cholesterol | 3.3 | |
care_element | bmi | 38.4 | |
care_element | diastolic_bp | 82 | |
care_element | egfr | 80 | |
care_element | albumin_creatinine_ratio | 1.7 | |
care_element | smoking_status | never | |
care_element | hba1c | 8.4 | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status never synthetic-demo | Clinical note: SOAP note Diabetes follow-up S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 124/... | Clinical note: SOAP note Diabetes follow-up S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 123/... | Care element: smoking_status never synthetic-demo | probable | |
clinical_flag | Synthetic diabetes monitoring review | new | medium | synthetic_longitudinal_data | Longitudinal synthetic data suggests diabetes with recent monitoring possibly due. | |
clinical_flag | Synthetic BP follow-up review | new | medium | synthetic_longitudinal_data | Several synthetic BP readings are above target and need clinician review. | |
alert | Diabetes monitoring due soon | Synthetic alert for testing active cohort and review workflows. | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 123/77, BMI 30.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 8.3%, LDL 3.2 mmol/L, eGFR 79, ACR 1.6. Interpret in clinical context. | |
care_element | smoking_status | never | |
care_element | bmi | 37.4 | |
care_element | diastolic_bp | 95 | |
care_element | systolic_bp | 135 | |
care_element | albumin_creatinine_ratio | 1.6 | |
care_element | egfr | 79 | |
care_element | ldl_cholesterol | 3.2 | |
care_element | fasting_glucose | 8.5 | |
care_element | hba1c | 8.3 | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 122/76, BMI 29.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 8.2%, LDL 3.1 mmol/L, eGFR 78, ACR 1.5. Interpret in clinical context. | |
care_element | smoking_status | never | |
care_element | bmi | 36.4 | |
care_element | albumin_creatinine_ratio | 1.5 | |
care_element | egfr | 78 | |
care_element | systolic_bp | 134 | |
care_element | ldl_cholesterol | 3.1 | |
care_element | fasting_glucose | 8.4 | |
care_element | hba1c | 8.2 | |
care_element | diastolic_bp | 94 | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 121/75, BMI 28.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 8.1%, LDL 3.0 mmol/L, eGFR 77, ACR 1.4. Interpret in clinical context. | |
care_element | fasting_glucose | 8.3 | |
care_element | ldl_cholesterol | 3.0 | |
care_element | albumin_creatinine_ratio | 1.4 | |
care_element | egfr | 77 | |
care_element | hba1c | 8.1 | |
care_element | smoking_status | never | |
care_element | bmi | 35.4 | |
care_element | diastolic_bp | 93 | |
care_element | systolic_bp | 133 | |
appointment | Chronic disease follow-up | cancelled | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 120/74, BMI 27.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 8.0%, LDL 2.9 mmol/L, eGFR 76, ACR 1.3. Interpret in clinical context. | |
care_element | smoking_status | never | |
care_element | bmi | 34.4 | |
care_element | diastolic_bp | 92 | |
care_element | systolic_bp | 132 | |
care_element | albumin_creatinine_ratio | 1.3 | |
care_element | egfr | 76 | |
care_element | ldl_cholesterol | 2.9 | |
care_element | fasting_glucose | 8.2 | |
care_element | hba1c | 8.0 | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 119/73, BMI 26.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 7.9%, LDL 2.8 mmol/L, eGFR 75, ACR 1.2. Interpret in clinical context. | |
care_element | smoking_status | never | |
care_element | egfr | 75 | |
care_element | ldl_cholesterol | 2.8 | |
care_element | fasting_glucose | 8.1 | |
care_element | hba1c | 7.9 | |
care_element | systolic_bp | 157 | |
care_element | albumin_creatinine_ratio | 1.2 | |
care_element | diastolic_bp | 91 | |
care_element | bmi | 33.4 | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
appointment | Chronic disease follow-up | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports variable home glucose readings and medication adherence questions, with home BP readings sometimes above target. O: BP 118/72, BMI 25.2, cardiopulmonary exam stable, feet chec | |
report | Laboratory | Lab panel: HbA1c 7.8%, LDL 2.7 mmol/L, eGFR 74, ACR 1.1. Interpret in clinical context. | |
care_element | egfr | 74 | |
care_element | albumin_creatinine_ratio | 1.1 | |
care_element | systolic_bp | 156 | |
care_element | diastolic_bp | 90 | |
care_element | bmi | 32.4 | |
care_element | ldl_cholesterol | 2.7 | |
care_element | smoking_status | never | |
care_element | fasting_glucose | 8.0 | |
care_element | hba1c | 7.8 |
Lab panel: HbA1c 8.0%, LDL 2.9 mmol/L, eGFR 76, ACR 1.3. Interpret in clinical context.
136 mmHg
2026-07-19Diastolic Bp
82 mmHg
2026-07-19Bmi
38.4 kg/m2
2026-07-19Smoking Status
never
2026-07-19Hba1c
8.3 %
2025-06-18Fasting Glucose
8.5 mmol/L
2025-06-18Ldl Cholesterol
3.2 mmol/L
2025-06-18Egfr
79 mL/min/1.73m2
2025-06-18Albumin Creatinine Ratio
1.6 mg/mmol
2025-06-18Systolic Bp
135 mmHg
2025-06-18Diastolic Bp
95 mmHg
2025-06-18Bmi
37.4 kg/m2
2025-06-18Smoking Status
never
2025-06-18Hba1c
8.2 %
2024-05-17Fasting Glucose
8.4 mmol/L
2024-05-17Ldl Cholesterol
3.1 mmol/L
2024-05-17Egfr
78 mL/min/1.73m2
2024-05-17Albumin Creatinine Ratio
1.5 mg/mmol
2024-05-17Systolic Bp
134 mmHg
2024-05-17Diastolic Bp
94 mmHg
2024-05-17Bmi
36.4 kg/m2
2024-05-17Smoking Status
never
2024-05-17Hba1c
8.1 %
2023-04-16Fasting Glucose
8.3 mmol/L
2023-04-16Ldl Cholesterol
3 mmol/L
2023-04-16Egfr
77 mL/min/1.73m2
2023-04-16Albumin Creatinine Ratio
1.4 mg/mmol
2023-04-16Systolic Bp
133 mmHg
2023-04-16Diastolic Bp
93 mmHg
2023-04-16Bmi
35.4 kg/m2
2023-04-16Smoking Status
never
2023-04-16Hba1c
8 %
2022-03-15Fasting Glucose
8.2 mmol/L
2022-03-15Ldl Cholesterol
2.9 mmol/L
2022-03-15Egfr
76 mL/min/1.73m2
2022-03-15Albumin Creatinine Ratio
1.3 mg/mmol
2022-03-15Systolic Bp
132 mmHg
2022-03-15Diastolic Bp
92 mmHg
2022-03-15Bmi
34.4 kg/m2
2022-03-15Smoking Status
never
2022-03-15Hba1c
7.9 %
2021-02-14Fasting Glucose
8.1 mmol/L
2021-02-14Ldl Cholesterol
2.8 mmol/L
2021-02-14Egfr
75 mL/min/1.73m2
2021-02-14Albumin Creatinine Ratio
1.2 mg/mmol
2021-02-14Systolic Bp
157 mmHg
2021-02-14Diastolic Bp
91 mmHg
2021-02-14Bmi
33.4 kg/m2
2021-02-14Smoking Status
never
2021-02-14Hba1c
7.8 %
2020-01-13Fasting Glucose
8 mmol/L
2020-01-13Ldl Cholesterol
2.7 mmol/L
2020-01-13Egfr
74 mL/min/1.73m2
2020-01-13Albumin Creatinine Ratio
1.1 mg/mmol
2020-01-13Systolic Bp
156 mmHg
2020-01-13Diastolic Bp
90 mmHg
2020-01-13Bmi
32.4 kg/m2
2020-01-13Smoking Status
never
2020-01-13