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.
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Most recent values are summarized here so the timeline can stay readable.
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Recent chart, workflow, AI, cohort, and audit events shown in the user's local time.
37, more source rows below
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Recent Notes
Latest narrative evidence, clipped for scanning.
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Reports
Recent report headers and excerpts.
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Full Imported Source Data
Audit view for imported records. Kept collapsed so the working chart remains usable.
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PHM saved action
PHM action: INFLUENZA_RECALL_DUE
status=needs_review | imported | next review=2026-07-02 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
PHM saved action
PHM action: NARRATIVE_OA_WITHOUT_PROBLEM
status=needs_review | imported | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient.
PHM saved action
PHM action: UNCONTROLLED_HBA1C
status=in_review | imported | next review=2026-07-17 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
Latest Measurements
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Measure
Latest
Date
Previous
Trend
Hba1c
9 %
2026-04-17
9.3 %
-0.3
Systolic Bp
126 mmHg
2026-02-06
120 mmHg
+6.0
Diastolic Bp
77 mmHg
2026-02-06
79 mmHg
-2.0
Bmi
20.1 kg/m2
2025-12-19
No previous
Reference
Egfr
72 mL/min/1.73m2
2025-03-30
No previous
Reference
Albumin Creatinine Ratio
29.7 mg/mmol
2026-04-23
No previous
Reference
Ldl Cholesterol
3 mmol/L
2026-04-30
3.3 mmol/L
-0.3
Fasting Glucose
7.2 mmol/L
2026-03-29
10.3 mmol/L
-3.1
Smoking Status
current smoker
2025-03-01
No previous
Reference
Page 1 / 1
Timeline
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Care element: smoking_status current smoker form | probable
phm_workflow
PHM action: INFLUENZA_RECALL_DUE
status=needs_review | imported | next review=2026-07-02 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
phm_workflow
PHM action: NARRATIVE_OA_WITHOUT_PROBLEM
status=needs_review | imported | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=in_review | imported | next review=2026-07-17 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
in_review | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Eye exam evidence missing or overdue
dismissed | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
clinical_flag
Narrative OA evidence missing from problem list
accepted | medium | clinical_note | Clinical note describes osteoarthritis-like knee symptoms but there is no structured OA problem-list entry.
clinical_flag
HbA1c above target
new | high | structured_fact | Latest HbA1c 9.0% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
note
SOAP note
MSK review: chronic knee 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
Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report.
appointment
same-day concern
completed
note
SOAP note
Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 4/10.
note
SOAP note
COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed.
SOAP note
MSK review: chronic knee 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
Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 4/10.
SOAP note
COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed.
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
Laboratory
Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report.
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
Patient Context
ProviderJuliana Davies
LanguageFrench
Phone416-555-9088
EmailMissing
Sourcestructured_json
Review tasks
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Open clinical review items need status, assignment, or closure.
A1c above review threshold
Latest HbA1c is 9 % on 2026-04-17.
Active problems
5
Glaucoma suspect
active
Chronic neuropathic pain
active
Chronic obstructive pulmonary disease
J44.9
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
6
Celecoxib
100 mg BID PRN
Naproxen
500 mg BID PRN
Tiotropium inhaler
18 mcg daily
Salbutamol inhaler
100 mcg 1-2 puffs q4h PRN
Ramipril
All timeline rows (51)
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Page 1 / 1
All care elements (28)
Ldl Cholesterol
3 mmol/L
2026-04-30
Albumin Creatinine Ratio
29.7 mg/mmol
2026-04-23
Hba1c
9 %
2026-04-17
Fasting Glucose
7.2 mmol/L
2026-03-29
Diastolic Bp
77 mmHg
2026-02-06
Systolic 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: INFLUENZA_RECALL_DUE
status=needs_review | imported | next review=2026-07-02 | Review evidence for Influenza immunization recall; confirm appropriateness before contacting patient.
phm_workflow
PHM action: NARRATIVE_OA_WITHOUT_PROBLEM
status=needs_review | imported | next review=2026-07-02 | Review evidence for Narrative OA evidence missing from problem list; confirm appropriateness before contacting patient.
phm_workflow
PHM action: UNCONTROLLED_HBA1C
status=in_review | imported | next review=2026-07-17 | Review evidence for HbA1c above target; confirm appropriateness before contacting patient.
clinical_flag
Influenza immunization recall
in_review | low | structured_fact | No recent influenza immunization evidence within the synthetic seasonal window.
clinical_flag
Eye exam evidence missing or overdue
dismissed | medium | active_cohort_automation | Glaucoma suspect is documented but no recent eye exam report is present in the synthetic chart.
clinical_flag
Narrative OA evidence missing from problem list
accepted | medium | clinical_note | Clinical note describes osteoarthritis-like knee symptoms but there is no structured OA problem-list entry.
clinical_flag
HbA1c above target
new | high | structured_fact | Latest HbA1c 9.0% suggests above-target glycemic control and needs clinician review.
alert
Diabetes control flag: HbA1c above target
Generated from longitudinal lab trend.
care_element
ldl_cholesterol
note
SOAP note
MSK review: chronic knee 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
albumin_creatinine_ratio
care_element
hba1c
care_element
fasting_glucose
report
Laboratory
Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report.
appointment
same-day concern
completed
care_element
diastolic_bp
care_element
systolic_bp
note
SOAP note
Pain follow-up for chronic neuropathic pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 4/10.
note
SOAP note
COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed.
care_element
bmi
note
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
care_element
immunization
COVID-19 vaccine documented
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.
care_element
ldl_cholesterol
care_element
egfr
care_element
smoking_status
current smoker
report
Laboratory
HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up.
care_element
fasting_glucose
care_element
hba1c
note
preventive care
Preventive counselling: exercise, diet, sleep, contraception/sexual health as relevant, injury prevention, and routine immunization review.
care_element
hba1c
care_element
ldl_cholesterol
care_element
immunization
Influenza vaccine documented
care_element
diastolic_bp
care_element
systolic_bp
appointment
medication renewal
completed
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.