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1, current
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status never synthetic-demo | Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports gener...
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0
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Last visit
2026-01-17
Appointment or derived chart contact
Latest A1c
5.9 %
2026-09-09
Latest BP
120 mmHg / 69 mmHg
2026-09-09
Extracted signals
0
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Chart volume
92
7 notes, 7 reports
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Review priority
1
active signal
0
11
0
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Active problems
1
Dyslipidemia
E78.5
active
Active medications
2
Ramipril
5mg daily
Rosuvastatin
10mg daily
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11
imported record
s
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note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 148/86, BMI 35.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 5.9%, LDL 3.5 mmol/L, eGFR 80, ACR 1.5. 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 Preventive care S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 148/86, BMI 35.4, cardiopulmonary exam stable, feet c... | Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 147/85, BMI 34.4, cardiopulmonary exam stable, feet c... | Care element: smoking_status never synthetic-demo | probable
alert
Preventive care review due
Synthetic alert for testing active cohort and review workflows.
appointment
Annual preventive visit
completed
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 147/85, BMI 34.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 5.8%, LDL 3.4 mmol/L, eGFR 79, ACR 1.4. Interpret in clinical context.
appointment
Annual preventive visit
completed
appointment
Annual preventive visit
completed
appointment
Annual preventive visit
completed
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 146/84, BMI 33.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 5.7%, LDL 3.3 mmol/L, eGFR 78, ACR 1.3. Interpret in clinical context.
appointment
Annual preventive visit
completed
appointment
Annual preventive visit
completed
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 148/86, BMI 35.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care review; 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 general preventive care concerns, with no major interval concerns. O: BP 147/85, BMI 34.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care review; 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 general preventive care concerns, with no major interval concerns. O: BP 146/84, BMI 33.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care review; 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 general preventive care concerns, with no major interval concerns. O: BP 145/83, BMI 32.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care review; risk factors reviewed. P: Review labs, reinforce lifestyle plan, reconcile medications, update immunizations, and arrange follow-up. Clinician review required for any care gap.
Laboratory
Lab panel: HbA1c 5.9%, LDL 3.5 mmol/L, eGFR 80, ACR 1.5. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 5.8%, LDL 3.4 mmol/L, eGFR 79, ACR 1.4. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 5.7%, LDL 3.3 mmol/L, eGFR 78, ACR 1.3. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 5.6%, LDL 3.2 mmol/L, eGFR 77, ACR 1.2. Interpret in clinical context.
Laboratory
Hba1c
5.9 %
2026-09-09Fasting Glucose
5.6 mmol/L
2026-09-09Ldl Cholesterol
3.5 mmol/L
2026-09-09Egfr
80 mL/min/1.73m2
2026-09-09Albumin Creatinine Ratio
1.5 mg/mmol
2026-09-09Systolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 148/86, BMI 35.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.9%, LDL 3.5 mmol/L, eGFR 80, ACR 1.5. Interpret in clinical context. | |
care_element | fasting_glucose | 5.6 | |
care_element | bmi | 26.3 | |
care_element | hba1c | 5.9 | |
care_element | smoking_status | never | |
care_element | ldl_cholesterol | 3.5 | |
care_element | systolic_bp | 120 | |
care_element | egfr | 80 | |
care_element | albumin_creatinine_ratio | 1.5 | |
care_element | diastolic_bp | 69 | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status never synthetic-demo | Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 148/86, BMI 35.4, cardiopulmonary exam stable, feet c... | Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 147/85, BMI 34.4, cardiopulmonary exam stable, feet c... | Care element: smoking_status never synthetic-demo | probable | |
alert | Preventive care review due | Synthetic alert for testing active cohort and review workflows. | |
appointment | Annual preventive visit | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 147/85, BMI 34.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.8%, LDL 3.4 mmol/L, eGFR 79, ACR 1.4. Interpret in clinical context. | |
care_element | egfr | 79 | |
care_element | systolic_bp | 119 | |
care_element | smoking_status | never | |
care_element | ldl_cholesterol | 3.4 | |
care_element | albumin_creatinine_ratio | 1.4 | |
care_element | hba1c | 5.8 | |
care_element | bmi | 25.3 | |
care_element | diastolic_bp | 68 | |
care_element | fasting_glucose | 5.5 | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 146/84, BMI 33.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.7%, LDL 3.3 mmol/L, eGFR 78, ACR 1.3. Interpret in clinical context. | |
care_element | fasting_glucose | 5.4 | |
care_element | systolic_bp | 118 | |
care_element | albumin_creatinine_ratio | 1.3 | |
care_element | diastolic_bp | 80 | |
care_element | egfr | 78 | |
care_element | smoking_status | never | |
care_element | ldl_cholesterol | 3.3 | |
care_element | bmi | 24.3 | |
care_element | hba1c | 5.7 | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 145/83, BMI 32.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.6%, LDL 3.2 mmol/L, eGFR 77, ACR 1.2. Interpret in clinical context. | |
care_element | egfr | 77 | |
care_element | systolic_bp | 117 | |
care_element | albumin_creatinine_ratio | 1.2 | |
care_element | ldl_cholesterol | 3.2 | |
care_element | fasting_glucose | 5.3 | |
care_element | bmi | 23.3 | |
care_element | hba1c | 5.6 | |
care_element | diastolic_bp | 79 | |
care_element | smoking_status | never | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 144/82, BMI 31.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.5%, LDL 3.1 mmol/L, eGFR 76, ACR 1.1. Interpret in clinical context. | |
care_element | hba1c | 5.5 | |
care_element | systolic_bp | 116 | |
care_element | fasting_glucose | 5.2 | |
care_element | egfr | 76 | |
care_element | smoking_status | never | |
care_element | albumin_creatinine_ratio | 1.1 | |
care_element | diastolic_bp | 78 | |
care_element | ldl_cholesterol | 3.1 | |
care_element | bmi | 22.3 | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 143/81, BMI 30.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.4%, LDL 3.0 mmol/L, eGFR 75, ACR 1.0. Interpret in clinical context. | |
care_element | ldl_cholesterol | 3.0 | |
care_element | diastolic_bp | 77 | |
care_element | hba1c | 5.4 | |
care_element | bmi | 38.3 | |
care_element | albumin_creatinine_ratio | 1.0 | |
care_element | smoking_status | never | |
care_element | egfr | 75 | |
care_element | systolic_bp | 115 | |
care_element | fasting_glucose | 5.1 | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | cancelled | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 142/80, BMI 29.4, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.3%, LDL 2.9 mmol/L, eGFR 74, ACR 0.9. Interpret in clinical context. | |
care_element | diastolic_bp | 76 | |
care_element | fasting_glucose | 5.0 | |
care_element | bmi | 37.3 | |
care_element | egfr | 74 | |
care_element | albumin_creatinine_ratio | 0.9 | |
care_element | smoking_status | never | |
care_element | hba1c | 5.3 | |
care_element | ldl_cholesterol | 2.9 | |
care_element | systolic_bp | 114 | |
appointment | Annual preventive visit | completed |
Lab panel: HbA1c 5.5%, LDL 3.1 mmol/L, eGFR 76, ACR 1.1. Interpret in clinical context.
120 mmHg
2026-09-09Diastolic Bp
69 mmHg
2026-09-09Bmi
26.3 kg/m2
2026-09-09Smoking Status
never
2026-09-09Hba1c
5.8 %
2025-08-08Fasting Glucose
5.5 mmol/L
2025-08-08Ldl Cholesterol
3.4 mmol/L
2025-08-08Egfr
79 mL/min/1.73m2
2025-08-08Albumin Creatinine Ratio
1.4 mg/mmol
2025-08-08Systolic Bp
119 mmHg
2025-08-08Diastolic Bp
68 mmHg
2025-08-08Bmi
25.3 kg/m2
2025-08-08Smoking Status
never
2025-08-08Hba1c
5.7 %
2024-07-07Fasting Glucose
5.4 mmol/L
2024-07-07Ldl Cholesterol
3.3 mmol/L
2024-07-07Egfr
78 mL/min/1.73m2
2024-07-07Albumin Creatinine Ratio
1.3 mg/mmol
2024-07-07Systolic Bp
118 mmHg
2024-07-07Diastolic Bp
80 mmHg
2024-07-07Bmi
24.3 kg/m2
2024-07-07Smoking Status
never
2024-07-07Hba1c
5.6 %
2023-06-06Fasting Glucose
5.3 mmol/L
2023-06-06Ldl Cholesterol
3.2 mmol/L
2023-06-06Egfr
77 mL/min/1.73m2
2023-06-06Albumin Creatinine Ratio
1.2 mg/mmol
2023-06-06Systolic Bp
117 mmHg
2023-06-06Diastolic Bp
79 mmHg
2023-06-06Bmi
23.3 kg/m2
2023-06-06Smoking Status
never
2023-06-06Hba1c
5.5 %
2022-05-05Fasting Glucose
5.2 mmol/L
2022-05-05Ldl Cholesterol
3.1 mmol/L
2022-05-05Egfr
76 mL/min/1.73m2
2022-05-05Albumin Creatinine Ratio
1.1 mg/mmol
2022-05-05Systolic Bp
116 mmHg
2022-05-05Diastolic Bp
78 mmHg
2022-05-05Bmi
22.3 kg/m2
2022-05-05Smoking Status
never
2022-05-05Hba1c
5.4 %
2021-04-04Fasting Glucose
5.1 mmol/L
2021-04-04Ldl Cholesterol
3 mmol/L
2021-04-04Egfr
75 mL/min/1.73m2
2021-04-04Albumin Creatinine Ratio
1 mg/mmol
2021-04-04Systolic Bp
115 mmHg
2021-04-04Diastolic Bp
77 mmHg
2021-04-04Bmi
38.3 kg/m2
2021-04-04Smoking Status
never
2021-04-04Hba1c
5.3 %
2020-03-03Fasting Glucose
5 mmol/L
2020-03-03Ldl Cholesterol
2.9 mmol/L
2020-03-03Egfr
74 mL/min/1.73m2
2020-03-03Albumin Creatinine Ratio
0.9 mg/mmol
2020-03-03Systolic Bp
114 mmHg
2020-03-03Diastolic Bp
76 mmHg
2020-03-03Bmi
37.3 kg/m2
2020-03-03Smoking Status
never
2020-03-03