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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.
1, current
Smoking / Lung Screening review cohort
Chart evidence: Care element: smoking_status former smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
2
New, in review, or accepted tasks
Last visit
2026-05-10
Appointment or derived chart contact
Latest A1c
9.3 %
2026-04-24
Latest BP
147 mmHg / 91 mmHg
2026-05-31
Extracted signals
0
Optional text signals
Chart volume
49
4 notes, 2 reports
A compact view of what needs attention before opening the full imported record.
Review priority
3
active signal
s
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.
A1c above review threshold
Latest HbA1c is 9.3 % on 2026-04-24.
BP above target
Latest BP is 147 mmHg / 91 mmHg on 2026-05-31.
Active problems
4
Glaucoma suspect
active
Atrial fibrillation
I48
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
5
Apixaban
5 mg BID
ASA 81 mg
81 mg daily
Hydrochlorothiazide
12.5 mg daily
Amlodipine
5 mg daily
Gliclazide MR
30 mg daily
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.
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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.
35, 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: EYE_EXAM_OVERDUE
status=outreach_planned | imported | next review=2026-06-09 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient.
PHM saved action
PHM action: REPEATED_BP_ABOVE_TARGET
status=needs_review | imported | outreach=phone 2026-05-12 16:40 | next review=2026-06-16 | Review evidence for Repeated BP above target; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status former smoker form | probable
phm_workflow
PHM action: EYE_EXAM_OVERDUE
status=outreach_planned | imported | next review=2026-06-09 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient.
phm_workflow
PHM action: REPEATED_BP_ABOVE_TARGET
status=needs_review | imported | outreach=phone 2026-05-12 16:40 | next review=2026-06-16 | Review evidence for Repeated BP above target; 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
Eye exam evidence missing or overdue
new | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
clinical_flag
Repeated BP above target
in_review | high | structured_fact | Two recent BP readings are above target: 159/84 and 147/91 mmHg.
clinical_flag
HbA1c above target
completed | high | structured_fact | Latest HbA1c 9.3% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
note
consult
Atrial fibrillation follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs.
appointment
preventive care recall
completed
note
SOAP note
T2DM review. Home glucose pattern mostly at target. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
note
SOAP note
BP reviewed. Home readings variable. Reviewed sodium, adherence, and medication tolerance.
report
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
report
Consult
Consult follow-up for Atrial fibrillation. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed.
consult
Atrial fibrillation follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs.
SOAP note
T2DM review. Home glucose pattern mostly at target. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
BP reviewed. Home readings variable. Reviewed sodium, adherence, and medication tolerance.
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports variable energy. Plan: update labs/vitals and arrange follow-up as clinically indicated.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Consult
Consult follow-up for Atrial fibrillation. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Eye exam evidence missing or overdue
Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
Repeated BP above target
Two recent BP readings are above target: 159/84 and 147/91 mmHg.
HbA1c above target
Latest HbA1c 9.3% suggests above-target glycemic control and needs clinician review.
Diastolic Bp
91 mmHg
2026-05-31Systolic Bp
147 mmHg
2026-05-31Albumin Creatinine Ratio
20.5 mg/mmol
2026-05-17Fasting Glucose
8.4 mmol/L
2026-05-13Hba1c
9.3 %
2026-04-24Ldl Cholesterol
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status former smoker form | probable | |
phm_workflow | PHM action: EYE_EXAM_OVERDUE | status=outreach_planned | imported | next review=2026-06-09 | Review evidence for Eye exam evidence missing or overdue; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: REPEATED_BP_ABOVE_TARGET | status=needs_review | imported | outreach=phone 2026-05-12 16:40 | next review=2026-06-16 | Review evidence for Repeated BP above target; 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 | Eye exam evidence missing or overdue | new | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart. | |
clinical_flag | Repeated BP above target | in_review | high | structured_fact | Two recent BP readings are above target: 159/84 and 147/91 mmHg. | |
clinical_flag | HbA1c above target | completed | high | structured_fact | Latest HbA1c 9.3% suggests above-target glycemic control and needs clinician review. | |
alert | Diabetes control flag: HbA1c above target | Generated from longitudinal lab trend. | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
note | consult | Atrial fibrillation follow-up. Patient reports no chest pain. Plan: continue guideline-oriented risk management and monitor labs. | |
care_element | albumin_creatinine_ratio | ||
care_element | fasting_glucose | ||
appointment | preventive care recall | completed | |
care_element | hba1c | ||
care_element | ldl_cholesterol | ||
note | SOAP note | T2DM review. Home glucose pattern mostly at target. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
note | SOAP note | BP reviewed. Home readings variable. Reviewed sodium, adherence, and medication tolerance. | |
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
care_element | bmi | ||
care_element | egfr | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | fasting_glucose | ||
care_element | hba1c | ||
care_element | smoking_status | former smoker | |
care_element | ldl_cholesterol | ||
report | Consult | Consult follow-up for Atrial fibrillation. Risk factor optimization, medication adherence, symptom surveillance, and return precautions reviewed. | |
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports variable energy. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
care_element | fasting_glucose | ||
care_element | immunization | Influenza vaccine documented | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | periodic health review | completed | |
care_element | ldl_cholesterol | ||
care_element | hba1c | ||
care_element | hba1c | ||
appointment | periodic health review | completed | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | fasting_glucose | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | ldl_cholesterol | ||
care_element | hba1c | ||
appointment | medication renewal | completed | |
appointment | chronic disease review | completed | |
care_element | hba1c | ||
care_element | immunization | Pneumococcal vaccine documented |
3.3 mmol/L
2026-04-05Bmi
31.2 kg/m2
2026-02-09Egfr
52 mL/min/1.73m2
2026-01-16Diastolic Bp
84 mmHg
2025-11-25Systolic Bp
159 mmHg
2025-11-25Fasting Glucose
8.1 mmol/L
2025-11-16Hba1c
9.5 %
2025-11-10Smoking Status
former smoker
2025-11-08Ldl Cholesterol
2.5 mmol/L
2025-08-20Fasting Glucose
6.6 mmol/L
2024-07-20Immunization
Influenza vaccine documented
2024-06-12Diastolic Bp
73 mmHg
2024-03-12Systolic Bp
136 mmHg
2024-03-12Ldl Cholesterol
3.2 mmol/L
2024-02-05Hba1c
8.5 %
2024-01-25Hba1c
9.2 %
2023-09-06Diastolic Bp
88 mmHg
2023-03-20Systolic Bp
157 mmHg
2023-03-20Fasting Glucose
8.2 mmol/L
2023-01-05Diastolic Bp
78 mmHg
2022-12-19Systolic Bp
151 mmHg
2022-12-19Ldl Cholesterol
3.8 mmol/L
2022-11-27Hba1c
9.2 %
2022-06-11Hba1c
8.3 %
2021-03-11Immunization
Pneumococcal vaccine documented
2020-07-25