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Population Health
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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 never smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
3
New, in review, or accepted tasks
Last visit
2026-02-18
Appointment or derived chart contact
Latest A1c
No A1c
Missing structured value
Latest BP
129 mmHg / 81 mmHg
2026-03-02
Extracted signals
0
Optional text signals
Chart volume
41
5 notes, 2 reports
A compact view of what needs attention before opening the full imported record.
Review priority
1
active signal
3
0
0
Review these before relying on the imported record clinically.
Review needed
3 open flags
Open clinical review items need status, assignment, or closure.
Active problems
5
Osteoarthritis of shoulder
M19.90
active
Alzheimer-type dementia
F03
active
Prostate cancer survivor
active
Chronic kidney disease stage 4
N18
active
Essential hypertension
I10
active
Active medications
2
Donepezil
5 mg HS
Amlodipine
5 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.
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.
27, 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: INFLUENZA_RECALL_DUE
status=in_review | imported | next review=2026-06-23 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
PHM saved action
PHM action: DEMENTIA_CARE_PLAN_DUE
status=booked | imported | next review=2026-07-02 | Review evidence for Dementia care plan review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: CKD_LOW_EGFR_REVIEW
status=snoozed | imported | outreach=sms 2026-05-08 15:50 | next review=2026-07-02 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status never smoker form | probable
phm_workflow
PHM action: INFLUENZA_RECALL_DUE
status=in_review | imported | next review=2026-06-23 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
phm_workflow
PHM action: DEMENTIA_CARE_PLAN_DUE
status=booked | imported | next review=2026-07-02 | Review evidence for Dementia care plan review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: CKD_LOW_EGFR_REVIEW
status=snoozed | imported | outreach=sms 2026-05-08 15:50 | next review=2026-07-02 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Dementia care plan review
in_review | medium | clinical_note | Cognitive disorder documented; care plan, caregiver supports, medication safety, and advance-care planning should be reviewed.
clinical_flag
Reduced eGFR requires review
new | high | structured_fact | Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review.
note
SOAP note
BP reviewed. Home readings mostly controlled. Reviewed sodium, adherence, and medication tolerance.
note
SOAP note
Cognitive follow-up. Family reports stable memory with reminders. Reviewed medication safety, driving/safety, caregiver stress, and community supports.
appointment
periodic health review
completed
report
Consult
Oncology follow-up for prostate cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed.
note
SOAP note
MSK review: chronic shoulder pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
report
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
note
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated.
SOAP note
BP reviewed. Home readings mostly controlled. Reviewed sodium, adherence, and medication tolerance.
SOAP note
Cognitive follow-up. Family reports stable memory with reminders. Reviewed medication safety, driving/safety, caregiver stress, and community supports.
SOAP note
MSK review: chronic shoulder pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning.
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated.
Consult
Oncology follow-up for prostate cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed.
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Dementia care plan review
Cognitive disorder documented; care plan, caregiver supports, medication safety, and advance-care planning should be reviewed.
Reduced eGFR requires review
Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review.
Egfr
18 mL/min/1.73m2
2026-04-23Diastolic Bp
81 mmHg
2026-03-02Systolic Bp
129 mmHg
2026-03-02Smoking Status
never smoker
2025-12-27Albumin Creatinine Ratio
76 mg/mmol
2025-07-28Diastolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status never smoker form | probable | |
phm_workflow | PHM action: INFLUENZA_RECALL_DUE | status=in_review | imported | next review=2026-06-23 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: DEMENTIA_CARE_PLAN_DUE | status=booked | imported | next review=2026-07-02 | Review evidence for Dementia care plan review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: CKD_LOW_EGFR_REVIEW | status=snoozed | imported | outreach=sms 2026-05-08 15:50 | next review=2026-07-02 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient. | |
clinical_flag | Influenza immunization recall | new | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Dementia care plan review | in_review | medium | clinical_note | Cognitive disorder documented; care plan, caregiver supports, medication safety, and advance-care planning should be reviewed. | |
clinical_flag | Reduced eGFR requires review | new | high | structured_fact | Latest eGFR 18 mL/min/1.73m2 requires medication and renal-risk review. | |
note | SOAP note | BP reviewed. Home readings mostly controlled. Reviewed sodium, adherence, and medication tolerance. | |
note | SOAP note | Cognitive follow-up. Family reports stable memory with reminders. Reviewed medication safety, driving/safety, caregiver stress, and community supports. | |
care_element | egfr | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | periodic health review | completed | |
care_element | smoking_status | never smoker | |
report | Consult | Oncology follow-up for prostate cancer survivor. No active recurrence noted in this synthetic report. Ongoing surveillance, late effects, and primary care coordination discussed. | |
care_element | albumin_creatinine_ratio | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
note | SOAP note | MSK review: chronic shoulder pain with morning stiffness and crepitus, consistent with osteoarthritis pattern. Discussed activity modification, strengthening, topical/oral analgesia risks, imaging only if red flags or surgical planning. | |
care_element | egfr | ||
care_element | immunization | Pneumococcal vaccine documented | |
report | Laboratory | Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring. | |
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports improving symptoms. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | bmi | ||
note | consult | Survivorship care reviewed for history of prostate cancer survivor. Patient asks about surveillance schedule and late effects. | |
appointment | same-day concern | completed | |
care_element | immunization | Influenza vaccine documented | |
appointment | lab follow-up | completed | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
appointment | same-day concern | completed | |
care_element | egfr | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | egfr | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | periodic health review | completed | |
appointment | periodic health review | completed |
83 mmHg
2025-06-25Systolic Bp
131 mmHg
2025-06-25Egfr
20 mL/min/1.73m2
2025-04-02Immunization
Pneumococcal vaccine documented
2025-02-26Diastolic Bp
75 mmHg
2024-10-15Systolic Bp
140 mmHg
2024-10-15Bmi
32.5 kg/m2
2024-08-05Immunization
Influenza vaccine documented
2023-12-15Diastolic Bp
76 mmHg
2023-01-16Systolic Bp
140 mmHg
2023-01-16Egfr
25 mL/min/1.73m2
2022-10-13Diastolic Bp
72 mmHg
2022-01-15Systolic Bp
139 mmHg
2022-01-15Egfr
19 mL/min/1.73m2
2021-12-08Diastolic Bp
90 mmHg
2021-12-01Systolic Bp
135 mmHg
2021-12-01