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
Mental Health review cohort
Chart evidence: Clinical note: SOAP note Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3...
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
2026-02-12
Appointment or derived chart contact
Latest A1c
8.8 %
2026-05-20
Latest BP
121 mmHg / 75 mmHg
2026-03-28
Extracted signals
0
Optional text signals
Chart volume
49
5 notes, 1 reports
A compact view of what needs attention before opening the full imported record.
Review priority
2
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 8.8 % on 2026-05-20.
Active problems
3
Chronic neuropathic pain
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
5
Celecoxib
100 mg BID PRN
Candesartan
8 mg daily
Metformin
500 mg BID
Metformin XR
1000 mg daily
Empagliflozin
10 mg daily
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.
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: AGE_ELIGIBLE_SCREENING_MISSING
status=snoozed | imported | next review=2026-08-01 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | next review=2026-06-23 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
cohort_run
Cohort: Mental Health review cohort
completed | Chart evidence: Clinical note: SOAP note Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10. | Clinical note: SOAP note T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | Clinical note: SOAP note BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance. | Clinical 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. | probable
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current smoker form | probable
phm_workflow
PHM action: AGE_ELIGIBLE_SCREENING_MISSING
status=snoozed | imported | next review=2026-08-01 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=outreach_planned | imported | next review=2026-06-23 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Age-eligible screening missing
in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
clinical_flag
HbA1c above target
new | high | structured_fact | Latest HbA1c 8.8% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
note
SOAP note
Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10.
note
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
appointment
lab follow-up
cancelled
note
SOAP note
T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
note
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
report
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
appointment
lab follow-up
cancelled
SOAP note
Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10.
preventive care
Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records.
SOAP note
T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Age-eligible screening missing
Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present.
HbA1c above target
Latest HbA1c 8.8% suggests above-target glycemic control and needs clinician review.
Hba1c
8.8 %
2026-05-20Smoking Status
current smoker
2026-04-30Ldl Cholesterol
4 mmol/L
2026-03-29Diastolic Bp
75 mmHg
2026-03-28Systolic Bp
121 mmHg
2026-03-28Egfr
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Mental Health review cohort | completed | Chart evidence: Clinical note: SOAP note Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10. | Clinical note: SOAP note T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | Clinical note: SOAP note BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance. | Clinical 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. | probable | |
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status current smoker form | probable | |
phm_workflow | PHM action: AGE_ELIGIBLE_SCREENING_MISSING | status=snoozed | imported | next review=2026-08-01 | Review evidence for Age-eligible screening missing; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: UNCONTROLLED_HBA1C | status=outreach_planned | imported | next review=2026-06-23 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient. | |
clinical_flag | Age-eligible screening missing | in_review | medium | clinical_note | Patient appears age-eligible for preventive screening, but no recent screening completion evidence is present. | |
clinical_flag | HbA1c above target | new | high | structured_fact | Latest HbA1c 8.8% suggests above-target glycemic control and needs clinician review. | |
alert | Diabetes control flag: HbA1c above target | Generated from longitudinal lab trend. | |
note | SOAP note | Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10. | |
care_element | hba1c | ||
care_element | smoking_status | current smoker | |
care_element | ldl_cholesterol | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | egfr | ||
note | preventive care | Preventive care review: age-eligible cancer screening discussed. No completed screening result found in imported records. | |
care_element | fasting_glucose | ||
appointment | lab follow-up | cancelled | |
note | SOAP note | T2DM review. Home glucose pattern limited due to missed checks. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
note | SOAP note | BP reviewed. Home readings not available. 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 | fasting_glucose | ||
care_element | albumin_creatinine_ratio | ||
care_element | hba1c | ||
care_element | bmi | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | lab follow-up | cancelled | |
care_element | ldl_cholesterol | ||
care_element | ldl_cholesterol | ||
appointment | same-day concern | completed | |
care_element | fasting_glucose | ||
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 | hba1c | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | fasting_glucose | ||
appointment | chronic disease review | completed | |
care_element | hba1c | ||
care_element | hba1c | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | same-day concern | completed | |
care_element | fasting_glucose | ||
care_element | hba1c | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | periodic health review | completed |
75 mL/min/1.73m2
2026-03-16Fasting Glucose
6.8 mmol/L
2026-02-21Fasting Glucose
10.7 mmol/L
2025-07-23Albumin Creatinine Ratio
13.9 mg/mmol
2025-07-10Hba1c
8.5 %
2025-06-08Bmi
26.4 kg/m2
2025-04-27Diastolic Bp
81 mmHg
2025-03-28Systolic Bp
135 mmHg
2025-03-28Ldl Cholesterol
3.3 mmol/L
2025-02-08Ldl Cholesterol
3.7 mmol/L
2024-12-19Fasting Glucose
10.4 mmol/L
2024-09-04Hba1c
7 %
2024-02-14Diastolic Bp
82 mmHg
2024-02-01Systolic Bp
145 mmHg
2024-02-01Diastolic Bp
65 mmHg
2023-09-02Systolic Bp
140 mmHg
2023-09-02Fasting Glucose
8.1 mmol/L
2023-05-04Hba1c
7.1 %
2023-01-20Hba1c
7 %
2022-11-26Diastolic Bp
72 mmHg
2022-09-05Systolic Bp
132 mmHg
2022-09-05Fasting Glucose
9 mmol/L
2022-03-08Hba1c
7.7 %
2021-09-18Diastolic Bp
85 mmHg
2021-08-10Systolic Bp
120 mmHg
2021-08-10