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Accepted chart labels
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0, active
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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: Flag: copd copd_recurrent_exacerbation high new Recurrent COPD exacerbation pattern Multiple COPD-related visits/exacerbation language identified within the recent...
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
2026-03-14
Appointment or derived chart contact
Latest A1c
No A1c
Missing structured value
Latest BP
128 mmHg / 82 mmHg
2026-04-20
Extracted signals
0
Optional text signals
Chart volume
43
6 notes, 3 reports
A compact view of what needs attention before opening the full imported record.
Review priority
1
active signal
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.
Active problems
5
Osteoarthritis of hand
M19.90
active
Chronic knee pain
active
Chronic kidney disease stage 3b
N18
active
Chronic obstructive pulmonary disease
J44.9
active
Essential hypertension
I10
active
Active medications
4
Naproxen
500 mg BID PRN
Tiotropium inhaler
18 mcg daily
Salbutamol inhaler
100 mcg 1-2 puffs q4h PRN
Candesartan
8 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.
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29, 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: 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: COPD_RECURRENT_EXACERBATION
status=snoozed | imported | outreach=phone 2026-02-10 13:20 | next review=2026-07-02 | Review evidence for Recurrent COPD exacerbation pattern; confirm appropriateness before contacting patient.
cohort_run
Cohort: Smoking / Lung Screening review cohort
completed | Chart evidence: Flag: copd copd_recurrent_exacerbation high new Recurrent COPD exacerbation pattern Multiple COPD-related visits/exacerbation language identified within the recent synthetic chart period. clinical_note | Care element: smoking_status former smoker form | probable
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: COPD_RECURRENT_EXACERBATION
status=snoozed | imported | outreach=phone 2026-02-10 13:20 | next review=2026-07-02 | Review evidence for Recurrent COPD exacerbation pattern; confirm appropriateness before contacting patient.
clinical_flag
Pneumococcal immunization review
completed | medium | active_cohort_automation | Older adult with no pneumococcal immunization evidence in the synthetic chart.
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
new | high | structured_fact | Latest eGFR 29.0 mL/min/1.73m2 requires medication and renal-risk review.
clinical_flag
Recurrent COPD exacerbation pattern
new | high | clinical_note | Multiple COPD-related visits/exacerbation language identified within the recent synthetic chart period.
note
SOAP note
COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed.
appointment
lab follow-up
completed
note
SOAP note
COPD review. Symptoms include shortness of breath on stairs. Inhaler technique reviewed. Exacerbation risk discussed.
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.
note
SOAP note
Pain follow-up for chronic knee pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10.
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.
report
Screening
PSA discussed - shared decision
SOAP note
COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed.
SOAP note
COPD review. Symptoms include shortness of breath on stairs. Inhaler technique reviewed. Exacerbation risk discussed.
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.
SOAP note
Pain follow-up for chronic knee pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10.
Screening
PSA discussed - shared decision
Laboratory
Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report.
Laboratory
Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring.
Pneumococcal immunization review
Older adult with no pneumococcal immunization evidence in the synthetic chart.
Influenza immunization recall
No recent influenza immunization evidence within the synthetic seasonal window.
Reduced eGFR requires review
Latest eGFR 29.0 mL/min/1.73m2 requires medication and renal-risk review.
Recurrent COPD exacerbation pattern
Multiple COPD-related visits/exacerbation language identified within the recent synthetic chart period.
Egfr
29 mL/min/1.73m2
2026-05-19Diastolic Bp
82 mmHg
2026-04-20Systolic Bp
128 mmHg
2026-04-20Cancer Screening
PSA discussed - shared decision
2025-10-25Albumin Creatinine Ratio
55.5 mg/mmol
2025-10-03Date | Type | Title | Detail |
|---|---|---|---|
cohort_run | Cohort: Smoking / Lung Screening review cohort | completed | Chart evidence: Flag: copd copd_recurrent_exacerbation high new Recurrent COPD exacerbation pattern Multiple COPD-related visits/exacerbation language identified within the recent synthetic chart period. clinical_note | Care element: smoking_status former smoker form | probable | |
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: COPD_RECURRENT_EXACERBATION | status=snoozed | imported | outreach=phone 2026-02-10 13:20 | next review=2026-07-02 | Review evidence for Recurrent COPD exacerbation pattern; confirm appropriateness before contacting patient. | |
clinical_flag | Pneumococcal immunization review | completed | medium | active_cohort_automation | Older adult with no pneumococcal immunization evidence in the synthetic chart. | |
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 | new | high | structured_fact | Latest eGFR 29.0 mL/min/1.73m2 requires medication and renal-risk review. | |
clinical_flag | Recurrent COPD exacerbation pattern | new | high | clinical_note | Multiple COPD-related visits/exacerbation language identified within the recent synthetic chart period. | |
care_element | egfr | ||
note | SOAP note | COPD review. Symptoms include increased cough and sputum. Inhaler technique reviewed. Exacerbation risk discussed. | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | lab follow-up | completed | |
note | SOAP note | COPD review. Symptoms include shortness of breath on stairs. Inhaler technique reviewed. Exacerbation risk discussed. | |
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. | |
note | SOAP note | Pain follow-up for chronic knee pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 3/10. | |
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. | |
report | Screening | PSA discussed - shared decision | |
care_element | cancer_screening | PSA discussed - shared decision | |
note | SOAP note | BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance. | |
care_element | albumin_creatinine_ratio | ||
care_element | bmi | ||
report | Laboratory | Spirometry: obstructive pattern compatible with COPD; post-bronchodilator values documented in scanned pulmonary function report. | |
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
report | Laboratory | Creatinine/eGFR and urine albumin-creatinine ratio reviewed for chronic kidney disease monitoring. | |
appointment | medication renewal | no_show | |
care_element | egfr | ||
care_element | smoking_status | former smoker | |
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
appointment | medication renewal | completed | |
care_element | egfr | ||
care_element | immunization | Influenza vaccine documented | |
care_element | egfr | ||
appointment | periodic health review | completed | |
appointment | medication renewal | completed | |
care_element | egfr | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | egfr | ||
appointment | lab follow-up | completed |
Bmi
23.2 kg/m2
2025-09-22Diastolic Bp
95 mmHg
2025-07-26Systolic Bp
150 mmHg
2025-07-26Egfr
28 mL/min/1.73m2
2025-01-11Smoking Status
former smoker
2024-12-26Diastolic Bp
81 mmHg
2024-12-08Systolic Bp
139 mmHg
2024-12-08Egfr
37 mL/min/1.73m2
2024-01-06Immunization
Influenza vaccine documented
2023-09-16Egfr
42 mL/min/1.73m2
2023-08-27Egfr
40 mL/min/1.73m2
2022-08-14Diastolic Bp
70 mmHg
2022-03-20Systolic Bp
129 mmHg
2022-03-20Diastolic Bp
77 mmHg
2021-10-10Systolic Bp
128 mmHg
2021-10-10Egfr
40 mL/min/1.73m2
2021-04-14