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2, current
Mental Health review cohort
Chart evidence: Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval...
membership needs review
No review task has been created from this cohort for this patient yet.
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status current synthetic-demo | Clinical note: SOAP note Preventive care S: Patient seen for longitudinal primary care follow-up. Reports gen...
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0
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Last visit
2026-01-22
Appointment or derived chart contact
Latest A1c
5.2 %
2026-02-14
Latest BP
125 mmHg / 74 mmHg
2026-02-14
Extracted signals
0
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Chart volume
92
7 notes, 7 reports
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0
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Active problems
1
Depressive disorder
F32.9
active
Active medications
1
Sertraline
50mg daily
membership needs review
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cohort_run
Cohort: Mental Health review cohort
completed | Chart evidence: 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 153/73, BMI 36.9, 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 152/72, BMI 35.9, 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 151/89, BMI 34.9, 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 150/88, BMI 33.9, cardiopulmonary exam stable, feet c... | probable
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current 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 153/73, BMI 36.9, 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 152/72, BMI 35.9, cardiopulmonary exam stable, feet c... | Care element: smoking_status current synthetic-demo | probable
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 153/73, BMI 36.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 5.2%, LDL 4.0 mmol/L, eGFR 85, ACR 2.0. 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 152/72, BMI 35.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 5.1%, LDL 3.9 mmol/L, eGFR 84, ACR 1.9. Interpret in clinical context.
note
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 151/89, BMI 34.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
report
Laboratory
Lab panel: HbA1c 6.2%, LDL 3.8 mmol/L, eGFR 83, ACR 1.8. Interpret in clinical context.
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 150/88, BMI 33.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care
SOAP note
S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 153/73, BMI 36.9, 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 152/72, BMI 35.9, 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 151/89, BMI 34.9, 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 150/88, BMI 33.9, 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 5.2%, LDL 4.0 mmol/L, eGFR 85, ACR 2.0. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 5.1%, LDL 3.9 mmol/L, eGFR 84, ACR 1.9. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 6.2%, LDL 3.8 mmol/L, eGFR 83, ACR 1.8. Interpret in clinical context.
Laboratory
Lab panel: HbA1c 6.1%, LDL 3.7 mmol/L, eGFR 82, ACR 1.7. Interpret in clinical context.
Laboratory
Hba1c
5.2 %
2026-02-14Fasting Glucose
6.1 mmol/L
2026-02-14Ldl Cholesterol
4 mmol/L
2026-02-14Egfr
85 mL/min/1.73m2
2026-02-14Albumin Creatinine Ratio
2 mg/mmol
2026-02-14Systolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Mental Health review cohort | completed | Chart evidence: 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 153/73, BMI 36.9, 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 152/72, BMI 35.9, 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 151/89, BMI 34.9, 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 150/88, BMI 33.9, cardiopulmonary exam stable, feet c... | probable | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status current 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 153/73, BMI 36.9, 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 152/72, BMI 35.9, cardiopulmonary exam stable, feet c... | Care element: smoking_status current synthetic-demo | probable | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 153/73, BMI 36.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.2%, LDL 4.0 mmol/L, eGFR 85, ACR 2.0. Interpret in clinical context. | |
care_element | albumin_creatinine_ratio | 2.0 | |
care_element | diastolic_bp | 74 | |
care_element | hba1c | 5.2 | |
care_element | smoking_status | current | |
care_element | fasting_glucose | 6.1 | |
care_element | ldl_cholesterol | 4.0 | |
care_element | egfr | 85 | |
care_element | systolic_bp | 125 | |
care_element | bmi | 36.1 | |
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 152/72, BMI 35.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 5.1%, LDL 3.9 mmol/L, eGFR 84, ACR 1.9. Interpret in clinical context. | |
care_element | systolic_bp | 124 | |
care_element | albumin_creatinine_ratio | 1.9 | |
care_element | egfr | 84 | |
care_element | hba1c | 5.1 | |
care_element | fasting_glucose | 6.0 | |
care_element | ldl_cholesterol | 3.9 | |
care_element | smoking_status | current | |
care_element | diastolic_bp | 73 | |
care_element | bmi | 35.1 | |
note | SOAP note | S: Patient seen for longitudinal primary care follow-up. Reports general preventive care concerns, with no major interval concerns. O: BP 151/89, BMI 34.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 6.2%, LDL 3.8 mmol/L, eGFR 83, ACR 1.8. Interpret in clinical context. | |
care_element | albumin_creatinine_ratio | 1.8 | |
care_element | ldl_cholesterol | 3.8 | |
care_element | egfr | 83 | |
care_element | fasting_glucose | 5.9 | |
care_element | hba1c | 6.2 | |
care_element | smoking_status | current | |
care_element | bmi | 34.1 | |
care_element | diastolic_bp | 72 | |
care_element | systolic_bp | 123 | |
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 150/88, BMI 33.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 6.1%, LDL 3.7 mmol/L, eGFR 82, ACR 1.7. Interpret in clinical context. | |
care_element | fasting_glucose | 5.8 | |
care_element | egfr | 82 | |
care_element | ldl_cholesterol | 3.7 | |
care_element | hba1c | 6.1 | |
care_element | smoking_status | current | |
care_element | bmi | 33.1 | |
care_element | diastolic_bp | 71 | |
care_element | systolic_bp | 122 | |
care_element | albumin_creatinine_ratio | 1.7 | |
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 149/87, BMI 32.9, cardiopulmonary exam stable, feet checked when diabetes present. A: Preventive care | |
report | Laboratory | Lab panel: HbA1c 6.0%, LDL 3.6 mmol/L, eGFR 81, ACR 1.6. Interpret in clinical context. | |
care_element | hba1c | 6.0 | |
care_element | smoking_status | current | |
care_element | bmi | 32.1 | |
care_element | diastolic_bp | 70 | |
care_element | systolic_bp | 121 | |
care_element | albumin_creatinine_ratio | 1.6 | |
care_element | egfr | 81 | |
care_element | ldl_cholesterol | 3.6 | |
care_element | fasting_glucose | 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 148/86, BMI 31.9, 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 | albumin_creatinine_ratio | 1.5 | |
care_element | egfr | 80 | |
care_element | ldl_cholesterol | 3.5 | |
care_element | fasting_glucose | 5.6 | |
care_element | hba1c | 5.9 | |
care_element | smoking_status | current | |
care_element | bmi | 31.1 | |
care_element | diastolic_bp | 69 | |
care_element | systolic_bp | 120 | |
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 147/85, BMI 30.9, 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 | smoking_status | current | |
care_element | bmi | 30.1 | |
care_element | diastolic_bp | 68 | |
care_element | systolic_bp | 119 | |
care_element | albumin_creatinine_ratio | 1.4 | |
care_element | egfr | 79 | |
care_element | ldl_cholesterol | 3.4 | |
care_element | fasting_glucose | 5.5 | |
care_element | hba1c | 5.8 | |
appointment | Annual preventive visit | completed | |
appointment | Annual preventive visit | completed |
Lab panel: HbA1c 6.0%, LDL 3.6 mmol/L, eGFR 81, ACR 1.6. Interpret in clinical context.
125 mmHg
2026-02-14Diastolic Bp
74 mmHg
2026-02-14Bmi
36.1 kg/m2
2026-02-14Smoking Status
current
2026-02-14Hba1c
5.1 %
2025-01-13Fasting Glucose
6 mmol/L
2025-01-13Ldl Cholesterol
3.9 mmol/L
2025-01-13Egfr
84 mL/min/1.73m2
2025-01-13Albumin Creatinine Ratio
1.9 mg/mmol
2025-01-13Systolic Bp
124 mmHg
2025-01-13Diastolic Bp
73 mmHg
2025-01-13Bmi
35.1 kg/m2
2025-01-13Smoking Status
current
2025-01-13Hba1c
6.2 %
2024-12-12Fasting Glucose
5.9 mmol/L
2024-12-12Ldl Cholesterol
3.8 mmol/L
2024-12-12Egfr
83 mL/min/1.73m2
2024-12-12Albumin Creatinine Ratio
1.8 mg/mmol
2024-12-12Systolic Bp
123 mmHg
2024-12-12Diastolic Bp
72 mmHg
2024-12-12Bmi
34.1 kg/m2
2024-12-12Smoking Status
current
2024-12-12Hba1c
6.1 %
2023-11-11Fasting Glucose
5.8 mmol/L
2023-11-11Ldl Cholesterol
3.7 mmol/L
2023-11-11Egfr
82 mL/min/1.73m2
2023-11-11Albumin Creatinine Ratio
1.7 mg/mmol
2023-11-11Systolic Bp
122 mmHg
2023-11-11Diastolic Bp
71 mmHg
2023-11-11Bmi
33.1 kg/m2
2023-11-11Smoking Status
current
2023-11-11Hba1c
6 %
2022-10-10Fasting Glucose
5.7 mmol/L
2022-10-10Ldl Cholesterol
3.6 mmol/L
2022-10-10Egfr
81 mL/min/1.73m2
2022-10-10Albumin Creatinine Ratio
1.6 mg/mmol
2022-10-10Systolic Bp
121 mmHg
2022-10-10Diastolic Bp
70 mmHg
2022-10-10Bmi
32.1 kg/m2
2022-10-10Smoking Status
current
2022-10-10Hba1c
5.9 %
2021-09-09Fasting Glucose
5.6 mmol/L
2021-09-09Ldl Cholesterol
3.5 mmol/L
2021-09-09Egfr
80 mL/min/1.73m2
2021-09-09Albumin Creatinine Ratio
1.5 mg/mmol
2021-09-09Systolic Bp
120 mmHg
2021-09-09Diastolic Bp
69 mmHg
2021-09-09Bmi
31.1 kg/m2
2021-09-09Smoking Status
current
2021-09-09Hba1c
5.8 %
2020-08-08Fasting Glucose
5.5 mmol/L
2020-08-08Ldl Cholesterol
3.4 mmol/L
2020-08-08Egfr
79 mL/min/1.73m2
2020-08-08Albumin Creatinine Ratio
1.4 mg/mmol
2020-08-08Systolic Bp
119 mmHg
2020-08-08Diastolic Bp
68 mmHg
2020-08-08Bmi
30.1 kg/m2
2020-08-08Smoking Status
current
2020-08-08