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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 current smoker form
membership needs review
No review task has been created from this cohort for this patient yet.
Open review tasks
4
New, in review, or accepted tasks
Last visit
2026-05-03
Appointment or derived chart contact
Latest A1c
8.6 %
2024-08-22
Latest BP
138 mmHg / 69 mmHg
2025-07-12
Extracted signals
0
Optional text signals
Chart volume
49
3 notes, 3 reports
A compact view of what needs attention before opening the full imported record.
Review priority
2
active signal
s
4
0
0
Review these before relying on the imported record clinically.
Review needed
4 open flags
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 8.6 % on 2024-08-22.
Active problems
3
Osteoarthritis of hand
M19.90
active
Chronic kidney disease stage 4
N18
active
Type 2 diabetes mellitus
E11
active
Active medications
2
Metformin
500 mg BID
Empagliflozin
10 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.
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: a1c-overdue
status=new | Created from PHM workbench for clinician review.
PHM saved action
PHM action: CKD_LOW_EGFR_REVIEW
status=in_review | imported | next review=2026-07-17 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: DIABETES_ACR_OVERDUE
status=outreach_planned | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=new | imported | next review=2026-08-01 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current smoker form | probable
phm_workflow
PHM action: a1c-overdue
status=new | Created from PHM workbench for clinician review.
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: CKD_LOW_EGFR_REVIEW
status=in_review | imported | next review=2026-07-17 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: DIABETES_ACR_OVERDUE
status=outreach_planned | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=new | imported | next review=2026-08-01 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
completed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Reduced eGFR requires review
accepted | high | structured_fact | Latest eGFR 22.0 mL/min/1.73m2 requires medication and renal-risk review.
clinical_flag
Urine ACR overdue
in_review | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
clinical_flag
HbA1c above target
accepted | high | structured_fact | Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
appointment
lab follow-up
completed
report
Screening
colonoscopy complete
note
SOAP note
MSK review: chronic hand 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
MSK review: chronic hand 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
T2DM review. Home glucose pattern variable. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports stable function. Plan: update labs/vitals and arrange follow-up as clinically indicated.
Screening
colonoscopy complete
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
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.
Reduced eGFR requires review
Latest eGFR 22.0 mL/min/1.73m2 requires medication and renal-risk review.
Urine ACR overdue
Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
HbA1c above target
Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review.
Fasting Glucose
8 mmol/L
2026-05-02Egfr
22 mL/min/1.73m2
2026-02-08Egfr
65 mL/min/1.73m2
2026-01-04Cancer Screening
colonoscopy complete
2025-12-08Egfr
29 mL/min/1.73m2
2025-08-12Diastolic Bp
Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Care element: smoking_status current smoker form | probable | |
phm_workflow | PHM action: a1c-overdue | status=new | Created from PHM workbench for clinician review. | |
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: CKD_LOW_EGFR_REVIEW | status=in_review | imported | next review=2026-07-17 | Review evidence for Reduced eGFR requires review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: DIABETES_ACR_OVERDUE | status=outreach_planned | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: UNCONTROLLED_HBA1C | status=new | imported | next review=2026-08-01 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient. | |
clinical_flag | Influenza immunization recall | completed | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window. | |
clinical_flag | Reduced eGFR requires review | accepted | high | structured_fact | Latest eGFR 22.0 mL/min/1.73m2 requires medication and renal-risk review. | |
clinical_flag | Urine ACR overdue | in_review | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window. | |
clinical_flag | HbA1c above target | accepted | high | structured_fact | Latest HbA1c 8.6% suggests above-target glycemic control and needs clinician review. | |
alert | Diabetes control flag: HbA1c above target | Generated from longitudinal lab trend. | |
appointment | lab follow-up | completed | |
care_element | fasting_glucose | ||
care_element | egfr | ||
care_element | egfr | ||
report | Screening | colonoscopy complete | |
care_element | cancer_screening | colonoscopy complete | |
note | SOAP note | MSK review: chronic hand 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. | |
appointment | same-day concern | booked | |
care_element | egfr | ||
note | SOAP note | T2DM review. Home glucose pattern variable. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | albumin_creatinine_ratio | ||
report | Laboratory | Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring. | |
care_element | ldl_cholesterol | ||
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
care_element | albumin_creatinine_ratio | ||
note | SOAP note | Follow-up visit. Medication list reviewed, allergies checked, and preventive care status discussed. Patient reports stable function. Plan: update labs/vitals and arrange follow-up as clinically indicated. | |
care_element | ldl_cholesterol | ||
care_element | smoking_status | current smoker | |
care_element | hba1c | ||
care_element | bmi | ||
care_element | egfr | ||
care_element | immunization | Influenza vaccine documented | |
appointment | medication renewal | no_show | |
care_element | fasting_glucose | ||
care_element | egfr | ||
care_element | hba1c | ||
care_element | fasting_glucose | ||
appointment | chronic disease review | completed | |
care_element | hba1c | ||
appointment | medication renewal | completed | |
care_element | egfr | ||
care_element | hba1c | ||
care_element | egfr | ||
appointment | medication renewal | completed |
69 mmHg
2025-07-12Systolic Bp
138 mmHg
2025-07-12Diastolic Bp
80 mmHg
2025-06-18Systolic Bp
122 mmHg
2025-06-18Albumin Creatinine Ratio
22.1 mg/mmol
2025-05-10Ldl Cholesterol
2 mmol/L
2025-03-18Albumin Creatinine Ratio
30.9 mg/mmol
2024-12-20Ldl Cholesterol
1.8 mmol/L
2024-11-19Smoking Status
current smoker
2024-11-15Hba1c
8.6 %
2024-08-22Bmi
27.3 kg/m2
2024-07-12Egfr
25 mL/min/1.73m2
2024-04-07Immunization
Influenza vaccine documented
2024-03-14Fasting Glucose
10.3 mmol/L
2024-02-27Egfr
21 mL/min/1.73m2
2023-12-23Hba1c
8.2 %
2023-05-03Fasting Glucose
11.2 mmol/L
2023-04-01Hba1c
8.6 %
2022-05-17Egfr
22 mL/min/1.73m2
2022-01-14Hba1c
8.8 %
2021-09-07Egfr
20 mL/min/1.73m2
2021-05-17