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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
5
New, in review, or accepted tasks
Last visit
2026-04-30
Appointment or derived chart contact
Latest A1c
7.2 %
2025-11-23
Latest BP
158 mmHg / 79 mmHg
2026-03-18
Extracted signals
0
Optional text signals
Chart volume
47
4 notes, 1 reports
A compact view of what needs attention before opening the full imported record.
Review priority
2
active signal
s
5
0
0
Review these before relying on the imported record clinically.
Review needed
5 open flags
Open clinical review items need status, assignment, or closure.
BP above target
Latest BP is 158 mmHg / 79 mmHg on 2026-03-18.
Active problems
3
Chronic low back pain
active
Essential hypertension
I10
active
Type 2 diabetes mellitus
E11
active
Active medications
7
Duloxetine
30 mg daily
Hydromorphone
1 mg q6h PRN
Candesartan
8 mg daily
Ramipril
5 mg daily
Metformin
500 mg BID
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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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.
33, 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: POLYPHARMACY_REVIEW
status=booked | imported | next review=2026-06-23 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient.
PHM saved action
PHM action: OPIOID_MONITORING_DUE
status=needs_review | imported | next review=2026-08-01 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
PHM saved action
PHM action: DIABETES_ACR_OVERDUE
status=new | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; 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: 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: POLYPHARMACY_REVIEW
status=booked | imported | next review=2026-06-23 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient.
phm_workflow
PHM action: OPIOID_MONITORING_DUE
status=needs_review | imported | next review=2026-08-01 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient.
phm_workflow
PHM action: DIABETES_ACR_OVERDUE
status=new | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient.
clinical_flag
Polypharmacy medication review
new | medium | structured_fact | 7 active medications identified; medication reconciliation and deprescribing opportunities should be reviewed.
clinical_flag
Opioid monitoring review due
new | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
clinical_flag
Repeated BP above target
in_review | high | structured_fact | Two recent BP readings are above target: 162/75 and 158/79 mmHg.
clinical_flag
Urine ACR overdue
new | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
note
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
appointment
lab follow-up
completed
note
SOAP note
T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
note
SOAP note
Pain follow-up for chronic low back pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 6/10.
SOAP note
BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance.
SOAP note
T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk.
SOAP note
Pain follow-up for chronic low back pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 6/10.
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.
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.
Polypharmacy medication review
7 active medications identified; medication reconciliation and deprescribing opportunities should be reviewed.
Opioid monitoring review due
Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation.
Repeated BP above target
Two recent BP readings are above target: 162/75 and 158/79 mmHg.
Urine ACR overdue
Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window.
Immunization
Influenza vaccine documented
2026-05-03Ldl Cholesterol
2 mmol/L
2026-04-04Diastolic Bp
79 mmHg
2026-03-18Systolic Bp
158 mmHg
2026-03-18Fasting Glucose
6.5 mmol/L
2026-03-14Date | 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: 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: POLYPHARMACY_REVIEW | status=booked | imported | next review=2026-06-23 | Review evidence for Polypharmacy medication review; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: OPIOID_MONITORING_DUE | status=needs_review | imported | next review=2026-08-01 | Review evidence for Opioid monitoring review due; confirm appropriateness before contacting patient. | |
phm_workflow | PHM action: DIABETES_ACR_OVERDUE | status=new | imported | next review=2026-07-02 | Review evidence for Urine ACR overdue; confirm appropriateness before contacting patient. | |
clinical_flag | Polypharmacy medication review | new | medium | structured_fact | 7 active medications identified; medication reconciliation and deprescribing opportunities should be reviewed. | |
clinical_flag | Opioid monitoring review due | new | high | structured_fact | Active opioid medication identified; verify treatment agreement, functional goals, dispense review, and urine drug screen documentation. | |
clinical_flag | Repeated BP above target | in_review | high | structured_fact | Two recent BP readings are above target: 162/75 and 158/79 mmHg. | |
clinical_flag | Urine ACR overdue | new | medium | active_cohort_automation | Patient has diabetes and no recent urine ACR evidence within the synthetic monitoring window. | |
note | SOAP note | BP reviewed. Home readings not available. Reviewed sodium, adherence, and medication tolerance. | |
care_element | immunization | Influenza vaccine documented | |
appointment | lab follow-up | completed | |
note | SOAP note | T2DM review. Home glucose pattern often elevated fasting. Discussed nutrition, exercise, foot care, and medication adherence. Plan: repeat HbA1c and review cardiovascular/renal risk. | |
care_element | ldl_cholesterol | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | fasting_glucose | ||
note | SOAP note | Pain follow-up for chronic low back pain. Function, sleep, mood, non-pharmacologic options, and medication risks reviewed. Pain score 6/10. | |
care_element | hba1c | ||
report | Laboratory | HbA1c, fasting glucose, lipid panel, creatinine/eGFR, and urine ACR reviewed for diabetes follow-up. | |
care_element | immunization | Pneumococcal vaccine documented | |
care_element | egfr | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | ldl_cholesterol | ||
appointment | chronic disease review | completed | |
care_element | albumin_creatinine_ratio | ||
care_element | bmi | ||
care_element | smoking_status | never smoker | |
care_element | immunization | COVID-19 vaccine documented | |
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 | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
appointment | preventive care recall | completed | |
care_element | ldl_cholesterol | ||
care_element | hba1c | ||
care_element | diastolic_bp | ||
care_element | systolic_bp | ||
care_element | ldl_cholesterol | ||
care_element | hba1c | ||
care_element | systolic_bp | ||
care_element | diastolic_bp | ||
care_element | hba1c | ||
care_element | diastolic_bp | ||
care_element | systolic_bp |
Hba1c
7.2 %
2025-11-23Immunization
Pneumococcal vaccine documented
2025-10-09Egfr
98 mL/min/1.73m2
2025-06-12Diastolic Bp
75 mmHg
2025-05-12Systolic Bp
162 mmHg
2025-05-12Ldl Cholesterol
2.4 mmol/L
2025-04-16Albumin Creatinine Ratio
24 mg/mmol
2025-03-24Bmi
29 kg/m2
2024-12-19Smoking Status
never smoker
2024-11-29Immunization
COVID-19 vaccine documented
2024-11-09Diastolic Bp
86 mmHg
2024-06-27Systolic Bp
119 mmHg
2024-06-27Hba1c
7 %
2024-06-01Ldl Cholesterol
3.7 mmol/L
2023-08-16Hba1c
7 %
2023-04-21Diastolic Bp
87 mmHg
2023-02-09Systolic Bp
112 mmHg
2023-02-09Ldl Cholesterol
1.3 mmol/L
2022-12-04Hba1c
7.4 %
2022-03-25Diastolic Bp
78 mmHg
2022-03-23Systolic Bp
138 mmHg
2022-03-23Hba1c
6.4 %
2021-06-02Diastolic Bp
75 mmHg
2021-04-11Systolic Bp
129 mmHg
2021-04-11