DocChart
Population Health
Patient panel
Loading the selected patient panel and chart summaries.
Switching panel
Preparing patient rows, flags, problems, medications, and last visit summaries.
Panel size
...
Loading patient records
With open flags
...
Loading review signals
With recent visit
...
Loading visit dates
Accepted chart labels
Human-confirmed labels that stay on the chart after a cohort membership is accepted.
0, active
No accepted chart labels yet. Cohort memberships and review tasks still appear below before anything is accepted.
Cohort memberships
Patient-list membership from saved cohort runs. These are source lists, not task status or accepted chart labels.
2, current
Frailty / Falls review cohort
Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium dismissed Prediabetes range HbA1c Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-li...
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 smoker form
membership needs review
Open review tasks
2
New, in review, or accepted tasks
Last visit
2026-03-02
Appointment or derived chart contact
Latest A1c
5.8 %
2025-07-01
Latest BP
130 mmHg / 73 mmHg
2025-06-26
Extracted signals
0
Optional text signals
Chart volume
25
5 notes, 1 reports
A compact view of what needs attention before opening the full imported record.
Review priority
1
active signal
2
0
0
Review these before relying on the imported record clinically.
Review needed
2 open flags
Open clinical review items need status, assignment, or closure.
Active problems
3
Generalized anxiety disorder
active
Chronic obstructive pulmonary disease
J44.9
active
Prediabetes
R73.03
active
Active medications
3
Mirtazapine
15 mg HS
Tiotropium inhaler
18 mcg daily
Salbutamol inhaler
100 mcg 1-2 puffs q4h PRN
No review task has been created from this cohort for this patient yet.
AI-CDS actions selected from Flags & Tasks. These stay visible on the chart for follow-up.
0, selected
No selected follow-up actions
Select AI-CDS actions from Flags & Tasks to keep them visible on this chart.
Saved population-health queue work for this patient: calls, recalls, flags, snoozes, exclusions, and completions.
Optional text-derived evidence extracted beside the imported chart. Each signal stays traceable to source text.
No extracted signals for this patient
Reprocess an import with text enrichment to attach suggested evidence to this patient record.
Most recent values are summarized here so the timeline can stay readable.
Recent chart, workflow, AI, cohort, and audit events shown in the user's local time.
11, more source rows below
Latest narrative evidence, clipped for scanning.
Recent report headers and excerpts.
Audit view for imported records. Kept collapsed so the working chart remains usable.
PHM saved action
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=outreach_planned | imported | outreach=phone 2026-04-16 16:45 | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
cohort_run
Cohort: Frailty / Falls review cohort
completed | Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium dismissed Prediabetes range HbA1c Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-list diagnosis. structured_fact | Clinical note: SOAP note Mental health review. PHQ-9 19, GAD-7 5. Sleep fragmented. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms. | probable
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current smoker form | probable
clinical_flag
Possible diabetes monitoring care gap
new | medium | structured | Confirmed diabetes evidence found, but no recent A1c/HbA1c care element was imported.
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=outreach_planned | imported | outreach=phone 2026-04-16 16:45 | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
dismissed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Age-eligible screening missing
new | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
Elevated mental health symptom score
dismissed | high | clinical_note | Recent note documents PHQ-9 19 and GAD-7 5; follow-up priority should be reviewed.
clinical_flag
Prediabetes range HbA1c
dismissed | medium | structured_fact | Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-list diagnosis.
appointment
preventive care recall
no_show
note
SOAP note
Mental health review. PHQ-9 19, GAD-7 5. Sleep fragmented. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms.
note
SOAP note
COPD review. Symptoms include stable exertional dyspnea. Inhaler technique reviewed. Exacerbation risk discussed.
note
preventive care
HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented.
note
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
note
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports no acute concern. Plan: update labs/vitals and arrange follow-up as clinically indicated.
SOAP note
Mental health review. PHQ-9 19, GAD-7 5. Sleep fragmented. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms.
SOAP note
COPD review. Symptoms include stable exertional dyspnea. Inhaler technique reviewed. Exacerbation risk discussed.
preventive care
HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented.
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
Laboratory
Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report.
Possible diabetes monitoring care gap
Confirmed diabetes evidence found, but no recent A1c/HbA1c care element was imported.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Age-eligible screening missing
Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
Elevated mental health symptom score
Recent note documents PHQ-9 19 and GAD-7 5; follow-up priority should be reviewed.
Prediabetes range HbA1c
Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-list diagnosis.
Bmi
26.4 kg/m2
2026-04-13Egfr
94 mL/min/1.73m2
2025-07-23Hba1c
5.8 %
2025-07-01Diastolic Bp
73 mmHg
2025-06-26Systolic Bp
130 mmHg
2025-06-26Smoking Status
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Frailty / Falls review cohort | completed | Chart evidence: Flag: diabetes_prediabetes prediabetes_risk medium dismissed Prediabetes range HbA1c Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-list diagnosis. structured_fact | Clinical note: SOAP note Mental health review. PHQ-9 19, GAD-7 5. Sleep fragmented. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms. | probable | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status current smoker form | probable | |
clinical_flag | Possible diabetes monitoring care gap | new | medium | structured | Confirmed diabetes evidence found, but no recent A1c/HbA1c care element was imported. | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=outreach_planned | imported | outreach=phone 2026-04-16 16:45 | next review=2026-07-02 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
clinical_flag | Influenza immunization recall | dismissed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Age-eligible screening missing | new | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | Elevated mental health symptom score | dismissed | high | clinical_note | Recent note documents PHQ-9 19 and GAD-7 5; follow-up priority should be reviewed. | |
clinical_flag | Prediabetes range HbA1c | dismissed | medium | structured_fact | Latest HbA1c 5.8% falls in the prediabetes range without a diabetes problem-list diagnosis. | |
care_element | bmi | ||
appointment | preventive care recall | no_show | |
note | SOAP note | Mental health review. PHQ-9 19, GAD-7 5. Sleep fragmented. No acute safety concern documented. Plan includes counselling resources, medication review, and follow-up interval based on symptoms. | |
note | SOAP note | COPD review. Symptoms include stable exertional dyspnea. Inhaler technique reviewed. Exacerbation risk discussed. | |
care_element | egfr | ||
care_element | hba1c | ||
note | preventive care | HbA1c in prediabetes range. Discussed weight, activity, nutrition, sleep, and repeat testing. No confirmed diabetes diagnosis documented. | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | smoking_status | current smoker | |
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports no acute concern. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
report | Laboratory | Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report. | |
appointment | chronic disease review | no_show | |
care_element | immunization | Influenza vaccine documented | |
appointment | periodic health review | completed | |
care_element | hba1c |
current smoker
2025-06-08Immunization
Influenza vaccine documented
2023-06-18Hba1c
6.4 %
2021-08-12